Samantha Jodi Russell
Samantha Jodi Russell is a Behavior Technician in Menifee, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
29564 Avida DrMenifee, CA 92584-8610
Phone: (951) 452-1417
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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 | 1851965487 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 18, 2021 |
| Last updated in NPPES | May 18, 2021 |
| Certification date | May 18, 2021 |
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