Provider Demographics
NPI:1386171239
Name:BUSAY, AMBER CATHERINE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:CATHERINE
Last Name:BUSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-2633
Mailing Address - Country:US
Mailing Address - Phone:707-718-3533
Mailing Address - Fax:
Practice Address - Street 1:340 COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-2633
Practice Address - Country:US
Practice Address - Phone:707-718-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst