Individual
ELVIRA RUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8821 DAVIS BLVD STE 100, KELLER, TX 76248-0329
(855) 444-5664
Mailing address
8821 DAVIS BLVD STE 100, KELLER, TX 76248-0329
(855) 444-5664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7678
TX
Other
Enumeration date
01/25/2021
Last updated
03/18/2026
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