Provider Demographics
NPI:1659723260
Name:RUSH, BILLY JOHN JR (MS, BCBA, LBA)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:JOHN
Last Name:RUSH
Suffix:JR
Gender:M
Credentials:MS, BCBA, LBA
Other - Prefix:MR
Other - First Name:BILLY
Other - Middle Name:J
Other - Last Name:RUSH
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MS, BCBA, LBA
Mailing Address - Street 1:21600 OXNARD ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4976
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:818-758-8015
Practice Address - Street 1:230 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4725
Practice Address - Country:US
Practice Address - Phone:225-349-7979
Practice Address - Fax:225-380-2150
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst