Busick, Matthew Douglas
Busick, Matthew Douglas is an individual health care provider with primary practice located at 2233 Cahaba Valley Dr , Birmingham AL 35242-2602. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Busick, Matthew Douglas can be contacted via phone (205) 718-9519.Contact Information
Primary practice address
2233 Cahaba Valley Dr
Birmingham AL 35242-2602
Phone: (205) 718-9519
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2017-141 | Alabama |
Profile Details
NPI number | 1811138977 |
---|---|
LBN Legal business name | Busick, Matthew Douglas |
Credentials | PHD, BCBA, LBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2009 |
Last updated | Nov 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811138977 | NPPES |
Other | 1-06-3188 | BCBA CERTIFICATION # | |
Other | 12315497 | BCBA CERTIFICATION # | |
Other | 2017-141 | BCBA CERTIFICATION # |
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