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

MS. Jennifer Russell

Individual provider Behavior Technician · NPI 1740953629

MS. Jennifer Russell is a Behavior Technician in Saint Johns, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

141 N Lake Cunningham Ave
Saint Johns, FL 32259-7939
Phone: (904) 295-6479
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1740953629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address141 N Lake Cunningham Ave, Saint Johns, FL 32259-7939

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