Individual
EMILY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19201 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-6913
(816) 474-3995
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/07/2022
Last updated
03/19/2026
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