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

Mallory Russo

Individual provider Behavior Analyst · NPI 1376362236

Mallory Russo is a Behavior Analyst in Sturgis, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

921 Broadus St Ste B
Sturgis, MI 49091-2403
Phone: (833) 624-6385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1376362236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address1295 Broadway, Hewlett, NY 11557-2015

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