MS. Madeline Grace Russell
MS. Madeline Grace Russell is a Behavior Technician in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
515 S 700 E Ste 2ASalt Lake City, UT 84102-2855
Phone: (801) 935-4171
Fax: (801) 935-4946
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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 | 1316580129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2019 |
| Last updated in NPPES | October 24, 2019 |
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