Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Jean Russell

Individual provider Behavior Technician · NPI 1558913012

Beverly Jean Russell is a Behavior Technician in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

120 E Market St Ste 1233
Indianapolis, IN 46204-3250
Phone: (317) 455-5307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558913012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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