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

Desirae Dominique Russell

Individual provider Behavior Technician · NPI 1821852898

Desirae Dominique Russell is a Behavior Technician in Modesto, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1101 Standiford Ave Ste A1
Modesto, CA 95350-0981
Phone: (855) 223-7123
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1821852898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

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