Matthew Gerrard Russo
Matthew Gerrard Russo is a Behavior Technician in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
250 NW 76th DrGainesville, FL 32607-6668
Phone: (352) 505-6363
Fax: (352) 505-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1053087288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | August 18, 2021 |
| Certification date | August 18, 2021 |
| Mailing address | 250 Nw 76th Dr, Gainesville, FL 32607-6668 |
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