CARLA RUSSELL

Behavior Technician

Active Individual
NPI: 1639778590

Practice Address

27023 164TH AVE SE
Covington, WA 98042

Phone: (253) 639-7146

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1639778590 is the National Provider Identifier for CARLA RUSSELL, a Behavior Technician provider located in Covington, WA. This NPI was enumerated on October 21, 2020.
CARLA RUSSELL practices at 27023 164TH AVE SE, Covington, WA 98042.

Quick Facts

NPI
1639778590
Type
Individual
Enumerated
Oct 21, 2020
Last Updated
Oct 21, 2020

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