Individual
KAYCEE SUE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 DECATUR BLVD, INDIANAPOLIS, IN 46241-9570
(317) 760-4187
Mailing address
5125 DECATUR BLVD STE A, INDIANAPOLIS, IN 46241-7511
(317) 760-4187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
08/20/2025
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