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

Charly Ann Russell, BT

Individual provider Behavior Technician · NPI 1124782503

Charly Ann Russell, BT is a Behavior Technician in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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Practice location Address checks out

835 Proton Rd Ste 105
San Antonio, TX 78258-4203
Phone: (210) 610-9175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (TX)

Record details

NPI number1124782503
Entity typeIndividual (Type 1)
GenderFemale
Credentials BT
Sole proprietorNo
NPI enumeratedOctober 22, 2021
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

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