Jordan Lynn Russell
Jordan Lynn Russell is a Behavior Technician in Walnut Creek, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
800 S Broadway Ste 310Walnut Creek, CA 94596-5218
Phone: (888) 531-8385
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 106S00000 |
|---|
Record details
| NPI number | 1720721913 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2022 |
| Last updated in NPPES | April 15, 2022 |
| Certification date | April 15, 2022 |
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