Mykayla Russell
Mykayla Russell is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
201 E Rudisill Blvd Ste 100BFort Wayne, IN 46806-1756
Phone: (219) 301-0774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1043925845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 17, 2023 |
| Last updated in NPPES | January 17, 2023 |
| Certification date | January 17, 2023 |
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