Philippe Richard Russian
Philippe Richard Russian is a Behavior Technician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2022.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
2104 Greenbriar DrSouthlake, TX 76092-8355
Phone: (817) 442-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-16-15039 (TX) |
|---|
Record details
| NPI number | 1457072209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 9, 2022 |
| Last updated in NPPES | September 9, 2022 |
| Certification date | September 9, 2022 |
| Mailing address | 2104 Greenbriar Dr, Southlake, TX 76092-8355 |
Other providers in Southlake
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Lazaylia Rogers
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Jovanna Rosales
2104 Greenbriar Dr, Southlake, TX 76092-8005 · (817) 442-9022
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Jacoby Ross
2104 Greenbriar Dr, Southlake, TX 76092-8355 · (817) 442-9022
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Samuel Foster Ross, SLPA, RBT
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Claudia Saro
2104 Greenbriar Dr, Southlake, TX 76092-8355 · (817) 422-9022