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

Individual provider Behavior Technician · NPI 1639787294

Nishelle Desrae Russ is a Behavior Technician in Ontario, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1801 Excise Ave Ste 116
Ontario, CA 91761-8557
Phone: (909) 259-0599
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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 number1639787294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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