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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1811138977 NPPES
Other 1-06-3188 BCBA CERTIFICATION #
Other 12315497 BCBA CERTIFICATION #
Other 2017-141 BCBA CERTIFICATION #

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