Individual
CHEYANNE MICHELLE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4112
(502) 915-8343
Mailing address
2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4112
(502) 915-8343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40279
KY
106S00000X
Behavior Technician
RBT1623345
IN
Other
Enumeration date
07/05/2018
Last updated
09/21/2021
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