Individual
CARISSA RUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7121 OLD HOUSE RD APT B, INDIANAPOLIS, IN 46256-2842
(317) 937-0951
Mailing address
7121 OLD HOUSE RD APT B, INDIANAPOLIS, IN 46256-2842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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