Jeffrey Russo
Jeffrey Russo is a Behavior Technician in Ontario, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3602 Inland Empire Blvd Ste B208Ontario, CA 91764-4912
Phone: (909) 476-6464
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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 | 1184169716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2017 |
| Last updated in NPPES | January 6, 2017 |
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