Most Relevant Information
Provider Data
| NPI Number: | 1003548207 |
| Provider Name: | RAFEEQ BUSH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2022 |
| Last Updated: | 06/27/2022 |
Provider Practice Location
1015 PENNSYLVANIA AVE # A
IRWIN
PA
156423737
Practice Location Phone/Fax
| Phone: | 8662872036 |
| Fax: |
Provider Mailing Location
1015 PENNSYLVANIA AVE # A
IRWIN
PA
156423737
Provider Mailing Phone/Fax
| Phone: | 8662872036 |
| Fax: |