MS. Heather Marie Russell
MS. Heather Marie Russell is a Behavior Technician in Mequon, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6140 W Executive Dr Ste BMequon, WI 53092-4499
Phone: (888) 754-0398
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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 | 1235963877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2024 |
| Last updated in NPPES | August 27, 2024 |
| Certification date | August 27, 2024 |
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