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NPI 1629839576

NPI 1629839576 : BRITTNEE RUST : ANDERSON, IN

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General NPI Number Information
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    NPI Number           |    1629839576
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTNEE RUST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2024
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    Last Update Date     |    07/02/2026
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Provider Practice Location Address
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    Address Line         |    2915 ENTERPRISE DR 
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    City                 |    ANDERSON
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    State                |    IN
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    Zip                  |    46013-9667
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    Country              |    US
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    Telephone            |    765-487-0265
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3006 EASTPOINT PKWY 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40223-4185
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    Country              |    US
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    Telephone            |    502-795-0773
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-26-2826352
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    License Number State |    IN
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