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

Kimberly Russell

Individual provider Behavior Technician · NPI 1184341182

Kimberly Russell is a Behavior Technician in Irvine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

135 Promenade
Irvine, CA 92612-1709
Phone: (714) 501-4590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence R1423200321 (CA)

Record details

NPI number1184341182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address135 Promenade, Irvine, CA 92612-1709

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