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

Russell Keith Schenck, PEERSUPPORT

Individual provider Behavior Technician · NPI 1619719689

Russell Keith Schenck, PEERSUPPORT is a Behavior Technician in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
3

Practice location Address checks out

865 S Patterson Blvd
Dayton, OH 45402-2624
Phone: (937) 966-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Behavior Technician Taxonomy 106S00000X
Peer Specialist Taxonomy 175T00000X · Licence APS005020 (OH)

Record details

NPI number1619719689
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024

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