Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Russell

Individual provider Behavior Technician · NPI 1972094332

Amanda Russell is a Behavior Technician in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

120 E 5th North St
Summerville, SC 29483-6822
Phone: (843) 826-0665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17-41549 (SC)
Behavior Technician Taxonomy 106S00000X · Licence BACB380191 (SC)

Record details

NPI number1972094332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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