Individual
PERI RUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8110 E 32ND ST N STE 200, WICHITA, KS 67226-2627
(913) 257-3047
Mailing address
10875 GRANDVIEW DR STE 2200, OVERLAND PARK, KS 66210-1510
(913) 257-3047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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