Emily Russell

NPI #1003709429 in Fort Wayne, Indiana

Provider Information

NPI Number: 1003709429
Entity Type: Individual
Name: Emily Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2025
Last Updated: Jun 3, 2025

Practice Location

Address: 601 NOBLE DR
City: Fort Wayne
State: Indiana
ZIP Code: 46825-5544
Phone: (260) 420-9332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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