Individual
MRS. TINERA MARIE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 617-0219
Mailing address
909 C ST, GENEVA, NE 68361-2832
(402) 617-0219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37262
NE
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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