Provider Demographics
NPI:1689345142
Name:BUSH, HELENA KATHERINE (BCBA)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:KATHERINE
Last Name:BUSH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 THOMAS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9607
Mailing Address - Country:US
Mailing Address - Phone:302-437-4303
Mailing Address - Fax:
Practice Address - Street 1:2312 SECANE RD
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-2810
Practice Address - Country:US
Practice Address - Phone:267-564-5717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst