Samuel Russell
Samuel Russell is a Behavior Technician in Kokomo, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1558 E Blvd Ste AKokomo, IN 46902-2587
Phone: (765) 252-0530
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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 | 1639966591 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 23, 2025 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 23, 2025 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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