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

Ianandra Dominique Nicole Russell

Individual provider Behavior Technician · NPI 1619847134

Ianandra Dominique Nicole Russell is a Behavior Technician in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

111 Mackenan Dr
Cary, NC 27511-7903
Phone: (919) 371-2848
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NC)

Record details

NPI number1619847134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

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