Individual
WILLIAM JOSEPH RUSSELL-PESTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 E 6TH ST, NEWTON, KS 67114-2735
(785) 404-8541
Mailing address
313 BEVERLY AVE, NEWTON, KS 67114-3232
(785) 404-8541
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
03/25/2025
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