Raven Russell
Raven Russell is a Behavior Technician in Fullerton, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
713 W Commonwealth Ave Ste CFullerton, CA 92832
Phone: (714) 879-4274
Fax: (714) 879-2274
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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 | 1548121569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 19, 2025 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
| Mailing address | 713 W Commonwealth Ave, Suite C, Fullerton, CA 92832 |
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