MEDICARE: ELIZABETH RUMLEY RBT

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-497098	IN

General Provider Information

NPI Number	:	1639032550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RUMLEY RBT

Provider Business Mailing Address
First Line	:	1923 S LIBERTY DR
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-5146
Country	:	US
Telephone Number	:	812-330-4460
Fax Number	:	812-330-4461

Provider Business Practice Location Address
First Line	:	1923 S LIBERTY DR
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-5146
Country	:	US
Telephone Number	:	812-330-4460
Fax Number	:	812-330-4461

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ ELIZABETH RUMLEY RBT” Practice Location

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