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

Kennedy Russell

Individual provider Behavior Technician · NPI 1073469490

Kennedy Russell is a Behavior Technician in Upper Marlboro, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone: (301) 456-4787
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1539733 (MD)

Record details

NPI number1073469490
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 8, 2026
Mailing address9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785

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