Melissa Rush
Individual provider Active NPI Behavior Analyst · Barto, PA
NPI 1669908406 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1669908406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BH003367 (PA)
- Practice address
- 7 Ocean LN
Barto, PA 19504-8974 - Phone
- (484) 797-5550
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH003367 | PA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH003367 | PA | Yes |
Addresses
Primary practice location
7 Ocean LN
Barto, PA 19504-8974
Mailing address
7 Ocean LN
Barto, PA 19504-8974
Phone (484) 797-5550
Other providers in Barto, PA
- Mikayla Moyer
- Michele J Mulholland
- Pathways to Wellness Telehealth LLC
- Catherine Elizabeth Payne
- Judith Roberson
- Jeffrey W Skolny
- Erin Smith
- Termed of Berks County Inc
- True North Counseling LLC
- Alice Weidner
All providers in Barto, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. 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.