MEDICARE: JENNIFER RUSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-19-96156
2	103K00000X	Behavior Analyst	1-25-86349	OH

General Provider Information

NPI Number	:	1306436605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RUSH

Provider Business Mailing Address
First Line	:	2760 AIRPORT DR STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2284
Country	:	US
Telephone Number	:	614-714-6261
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 AIRPORT DR STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2284
Country	:	US
Telephone Number	:	614-714-6261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	12/08/2025

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Directions to “ JENNIFER RUSH ” Practice Location

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