Michael Candido Russell
Michael Candido Russell is a Behavior Technician in Pomona, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
801 Corporate Center Dr Ste 210Pomona, CA 91768-2627
Phone: (909) 634-3974
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1770201055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 22, 2022 |
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