THANE RUSSEY

Behavior Technician

Active Individual
NPI: 1184593162

Practice Address

16541 GOTHARD ST STE 110
Huntington Beach, CA 92647

Phone: (877) 264-6747

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1184593162 is the National Provider Identifier for THANE RUSSEY, a Behavior Technician provider located in Huntington Beach, CA. This NPI was enumerated on October 30, 2025.
THANE RUSSEY practices at 16541 GOTHARD ST STE 110, Huntington Beach, CA 92647.

Quick Facts

NPI
1184593162
Type
Individual
Enumerated
Oct 30, 2025
Last Updated
Oct 30, 2025

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