Provider Demographics
NPI:1649610502
Name:MAURA P. RUSH, INC.
Entity type:Organization
Organization Name:MAURA P. RUSH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MS, BA
Authorized Official - Phone:516-695-7741
Mailing Address - Street 1:3 HIGH HEDGES CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1409
Mailing Address - Country:US
Mailing Address - Phone:516-695-7741
Mailing Address - Fax:631-584-2127
Practice Address - Street 1:3 HIGH HEDGES CT
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1409
Practice Address - Country:US
Practice Address - Phone:516-695-7741
Practice Address - Fax:631-584-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty