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

Mariah Lynn Russell

Individual provider Behavior Technician · NPI 1033879523

Mariah Lynn Russell is a Behavior Technician in Traverse City, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

10781 E Cherry Bend Rd # STUDIO2
Traverse City, MI 49684-5249
Phone: (231) 268-0007
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1033879523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2021
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address3157 Voice Rd, Kingsley, MI 49649-9765

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