Individual
MICHAELA D RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
552 W JACKSON TRL, JACKSON, MO 63755-2625
(573) 243-5552
Mailing address
205 RUTH AVE, SCOTT CITY, MO 63780-1500
(573) 450-2292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021029028
MO
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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