Daisy A Bustamante
Behavior Technician in Tucson, AZ. Individual provider (NPI-1).
NPI number1003546367
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1003546367
- Entity type
- Individual (NPI-1)
- Name
- Daisy A Bustamante
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2022
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
45 N Brown AveTucson, AZ 85710-3070
Phone 520-405-9893
Mailing address
45 N Brown AveTucson, AZ 85710-3070
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