Bush, Jenna

Bush, Jenna is an sole proprietor health care provider with primary practice located at 5318 Laurel Canyon Blvd Ste 101 , Valley Village CA 91607-4928. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bush, Jenna can be contacted via phone (818) 423-2215.

Contact Information

Primary practice address
5318 Laurel Canyon Blvd Ste 101 Valley Village CA 91607-4928
Phone: (818) 423-2215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X CERT-1-18-30110 California

Profile Details

NPI number 1255824751
LBN Legal business name Bush, Jenna
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2018
Last updated Jun 8th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255824751 NPPES
California Other 1-18-30110 BCBA

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