Individual
KAYLA LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 E MAIN ST LOT 35, KENT, OH 44240-5805
(401) 479-8498
Mailing address
1639 E MAIN ST LOT 35, KENT, OH 44240-5805
(401) 479-8498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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