Russell, Audrey M

Russell, Audrey M is an individual health care provider with primary practice located at 3435 W 96Th St , Indianapolis IN 46268-1102. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Audrey M can be contacted via phone (317) 802-7447.

Contact Information

Primary practice address
3435 W 96Th St Indianapolis IN 46268-1102
Phone: (317) 802-7447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1427399336
LBN Legal business name Russell, Audrey M
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2013
Last updated Mar 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers