Individual
ARIEL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N INTERSTATE 35 STE 700, AUSTIN, TX 78705-1874
(512) 417-6270
Mailing address
3529 N HILLS DR APT B, AUSTIN, TX 78731-3200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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