Taelyr Renee Bruther, RBT
Individual provider Active NPI Assistant Behavior Analyst · Shelbyville, IN
NPI 1033869508 · NPPES record last updated Mar 27, 2022
Key facts
- NPI
- 1033869508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 120 W Jackson St
Shelbyville, IN 46176-1295 - Phone
- (317) 512-2101
- NPI assigned
- Mar 27, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
120 W Jackson St
Shelbyville, IN 46176-1295
Mailing address
530 Hickory Dr
Hanover, IN 47243-9451
Phone (812) 818-0735
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpoe@btlautism.com | Health Information Exchange (HIE) |
Other providers in Shelbyville, IN
- Amanda Bratton
- Randa Jo Braunagel
- Kelley Ann Bringle
- Brandi Brooking
- Lisa Brownlee
- Elizabeth Bryant
- Beth L Buchanan
- Robert Caird
- Cancer Care Group, P.C.
- Dhawalraj Canchi Dhanraj
All providers in Shelbyville, IN · Assistant Behavior Analyst in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.