NPI 1124946520

Indy Russell

Practitioner Behavior Technician Springfield, MO

Practice location

Address: 1400 W Walnut St, Springfield, MO 65806-1640
Phone: (417) 818-5784

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-26-534503 (MO)

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Registry record

NPI: 1124946520
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2026
Record last updated: 6 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.