Tracie L Bush, MA, CKPMT is a
Behavior Analyst based in Madison, Connecticut. Tracie L Bush is licensed to practice in * (Not Available) (license number ) and her current practice location is
79 Country Way, Madison, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 848-7169.
NPI number for Tracie L Bush is 1043689011 and her current mailing address is 79 Country Way, Madison, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043689011.
Healthcare Provider's Profile
Full Name | Tracie L Bush |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 79 Country Way, Madison, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043689011
- Provider Enumeration Date: 09/21/2015
- Last Update Date: 09/21/2015
Medical Identifiers
Medical identifiers for Tracie L Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043689011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracie L Bush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracie L Bush, MA, CKPMT 79 Country Way, Madison, CT 06443-1759 Ph: (203) 848-7169 | Tracie L Bush, MA, CKPMT 79 Country Way, Madison, CT 06443-1759 Ph: (203) 848-7169 |
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