Christy Michelle Russell

NPI #1023739182 in Logansport, Indiana

Provider Information

NPI Number: 1023739182
Entity Type: Individual
Name: Christy Michelle Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 719 SPENCER ST
City: Logansport
State: Indiana
ZIP Code: 46947-3583
Phone: (765) 210-1284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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