TRACIE BUSH, M.A., CKPMT

Behavior Analyst

Active Individual
NPI: 1043689011

Practice Address

79 COUNTRY WAY
Madison, CT 06443

Phone: (203) 848-7169

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Behavior Analyst 103K00000X Yes -

Frequently Asked Questions

NPI 1043689011 is the National Provider Identifier for TRACIE BUSH, M.A., CKPMT, a Behavior Analyst provider located in Madison, CT. This NPI was enumerated on September 21, 2015.
TRACIE BUSH, M.A., CKPMT practices at 79 COUNTRY WAY, Madison, CT 06443.

Quick Facts

NPI
1043689011
Type
Individual
Enumerated
Sep 21, 2015
Last Updated
Sep 21, 2015

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