Most Relevant Information
Provider Data
| NPI Number: | 1003546367 |
| Provider Name: | DAISY A BUSTAMANTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2022 |
| Last Updated: | 06/10/2022 |
Provider Practice Location
45 N BROWN AVE
TUCSON
AZ
857103070
Practice Location Phone/Fax
| Phone: | 5204059893 |
| Fax: |
Provider Mailing Location
45 N BROWN AVE
TUCSON
AZ
857103070
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |