Individual
JANAE LAUREN RUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3700 PARK 42 DR STE 105A, SHARONVILLE, OH 45241-2081
(513) 861-0300
(513) 861-0213
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(513) 861-0300
(513) 861-0213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012916
—
OH
Enumeration date
05/19/2018
Last updated
12/04/2025
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