Stacey Lynn Bussard

NPI #1871146142 in Orting, Washington

Provider Information

NPI Number: 1871146142
Entity Type: Individual
Name: Stacey Lynn Bussard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 16, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 902 OFARRELL LN NW
City: Orting
State: Washington
ZIP Code: 98360-7301
Phone: (253) 283-0197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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