Elise Russ
Elise Russ is a Behavior Technician in Decatur, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2711 Irvin Way Ste 201Decatur, GA 30030-1724
Phone: (404) 547-5584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1669101499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | Depth La 22763, Pasadena, CA 91185-2763 |
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