Healthcare Provider Details

I. General information

NPI: 1629839576
Provider Name (Legal Business Name): BRITTNEE RUST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 ENTERPRISE DR
ANDERSON IN
46013-9667
US

IV. Provider business mailing address

3006 EASTPOINT PKWY
LOUISVILLE KY
40223-4185
US

V. Phone/Fax

Practice location:
  • Phone: 765-487-0265
  • Fax:
Mailing address:
  • Phone: 502-795-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2826352
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: