MYAIRA RUSSELL

FORT WAYNE, IN
NPI1073220588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-22-212066)
Enumeration Date2022-11-03
Last Update Date2022-11-03
Business Address
MYAIRA RUSSELL RBT
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
MYAIRA RUSSELL RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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