Robert Luis Russell
Robert Luis Russell is a Behavior Technician in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2022.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
3790 Dairy RdMelbourne, FL 32904-7630
Phone: (850) 294-1982
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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-21-191537 (FL) |
|---|
Record details
| NPI number | 1982352217 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 15, 2022 |
| Last updated in NPPES | March 15, 2022 |
| Certification date | March 15, 2022 |
| Mailing address | 3061 Mary St, West Melbourne, FL 32904-6742 |
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