Individual
KASSSANDRA GAIL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1101-01 N PROGRESS AVE,, SILOAM SPRINGS, AR 72761
(479) 228-7387
Mailing address
1101-01 N PROGRESS AVE,, SILOAM SPRINGS, AR 72761
(479) 228-7387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB963198
AR
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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