Individual
BRITTANY DANIELLE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E 10TH ST, COOKEVILLE, TN 38501-2017
(800) 423-2559
Mailing address
736 OLD CELINA RD, ALLONS, TN 38541-6908
(931) 823-6408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-62876
TN
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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