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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLICIA RUSO

Active

PHYLICIA RUSO is a Behavior Analyst healthcare provider located in THOMPSONVILLE, Michigan. NPI 1194257659 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · THOMPSONVILLE, MI

Registration Details

NPI Number
1194257659
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2017 (9.3845387320176 yrs)
Last Updated
Apr 3, 2017

Practice Information

Address
18064 KARLIN RD
THOMPSONVILLE, MI, 496839766
Browse MI providers · Browse ZIP 49683
Phone
2692711045
Primary Specialty
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.