Desmond Dewayne Bush

NPI #1801622329 in Antioch, Tennessee

Provider Information

NPI Number
1801622329
Entity Type
Individual
Name
Desmond Dewayne Bush
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 11, 2024
Last Updated
Sep 11, 2024

Practice Location

Address
2760 MURFREESBORO PIKE APT 130
ZIP Code
37013-3941
Phone
(615) 887-9108

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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