Michaela D Rush, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2021029028 Issued in MO

Practice address

552 W Jackson TRL
Jackson, MO 63755-2625

Phone

(573) 243-5552

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1871337469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RUTH AVE",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801500",
            "telephone_number": "573-450-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 W JACKSON TRL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552625",
            "telephone_number": "573-243-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "MICHAELA",
        "middle_name": "D",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2021029028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Carmalea Rodgers
• Michelle R Rooker, L.C.S.W.
• Abigail Roth, PTA
• Amy Rowland
• Nicole Ruopp
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center
• Saint Francis Medical Center

• Behavior Analyst in Jackson, MO
• Providers in Jackson, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.