Individual
ROSE ANNA LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 798-1183
Mailing address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 755-4049
(219) 217-1421
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12411
IN
106S00000X
Behavior Technician
RBT-15-04872
IN
Other
Enumeration date
01/08/2020
Last updated
07/21/2021
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