MYKAYLA RUSSELL

Behavior Technician

NPI: 1043925845Individual

Specialties, Licenses & Credentials

Behavior TechnicianPrimary

Behavior Technician

Code: 106S00000X

Contact & Hours

Address: 201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Phone: (219) 301-0774

Location

Practice Location

201 E RUDISILL BLVD STE 100B, FORT WAYNE, IN

Quick Facts

NPI: 1043925845
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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