Most Relevant Information
Provider Data
| NPI Number: | 1003508086 |
| Provider Name: | EMMA BUSH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-219944 |
Most Important Dates
| Enumeration Date: | 05/25/2023 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
2244 NORTH RD STE 116
GARDENDALE
AL
350712258
Practice Location Phone/Fax
| Phone: | 6592076622 |
| Fax: |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |