BLAKE RUSSELL

Behavior Technician

Active Individual
NPI: 1568197077

Practice Address

3784 MISSION AVE STE 148-1085
Oceanside, CA 92058

Phone: (540) 383-7133

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1568197077 is the National Provider Identifier for BLAKE RUSSELL, a Behavior Technician provider located in Oceanside, CA. This NPI was enumerated on July 19, 2022.
BLAKE RUSSELL practices at 3784 MISSION AVE STE 148-1085, Oceanside, CA 92058.

Quick Facts

NPI
1568197077
Type
Individual
Enumerated
Jul 19, 2022
Last Updated
Jul 19, 2022

Nearby Providers