James W Russell
James W Russell is a Behavior Technician in Marion, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
340 S Lincoln BlvdMarion, IN 46953-4501
Phone: (765) 661-9709
Fax: (765) 573-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-316265 (IN) |
|---|
Record details
| NPI number | 1699582460 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2024 |
| Last updated in NPPES | December 16, 2024 |
| Certification date | December 12, 2024 |
| Mailing address | 340 S. Lincoln Blvd, Marion, IN 46953-4501 |
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