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BREANNA M BUSH
NPI 1215790936
Behavior Analyst in Fargo, ND

Active since February 05, 2024
300 45TH ST S, FARGO, ND 58103(516) 535-9510 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breanna M Bush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA M BUSH (NPI 1215790936) is an individual behavior analyst provider in Fargo, North Dakota and active in the NPI registry since February 2024. She maintains a secondary practice location in Universal City.

NPPES Registry Identity

NPI1215790936
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameBREANNA M BUSH
Location Address300 45TH ST SFargo, ND 58103-1189
Mailing Address423 Atlantic AveFreeport, NY 11520-5216 · (321) 304-0030
Phone(516) 535-9510
Sole ProprietorNo
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1215790936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
300 45TH ST S, Fargo, ND 58103
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Secondary Practice Location 1

Location 1100 Universal City PlzUniversal City, CA 91608-1002 · Phone (321) 304-0030

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER MARIE HANSON
Registered Nurse
300 45TH ST S
FARGO, ND 58103
Cass County (701) 239-3700
SUMMIT CHIROPRACTIC, PLLC
Chiropractor
300 45TH ST S, 315
FARGO, ND 58103
Cass County (701) 356-7660
JANELLE MERCADO
Behavior Analyst
300 45TH ST S
FARGO, ND 58103
Cass County (516) 308-4966
BRANDON JJ REED
Behavior Technician
300 45TH ST S
FARGO, ND 58103
Cass County (833) 233-8326
DAKOTA SPINE AND SPORT
Chiropractor
300 45TH ST S, #315
FARGO, ND 58103
Cass County (701) 893-7877
BRITINY GUEVARA
Dental Assistant
300 45TH ST S
FARGO, ND 58103
Cass County (701) 239-3700
ALISON HAECHERL MSN, RN
Registered Nurse
300 45TH ST S
FARGO, ND 58103
Cass County (701) 232-3241
SILVIA PAMELA PARRA
Counselor
300 45TH ST S
FARGO, ND 58103
Cass County (949) 345-5090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Bush's NPI number?

The NPI number for Breanna Bush is 1215790936. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Breanna Bush located?

Breanna Bush practices at 300 45th St S, Fargo, ND 58103. The listed phone number is (516) 535-9510.

What is Breanna Bush's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Breanna Bush was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.