AMANDA RUSSELL
Behavior Technician
Active
Individual
NPI: 1972094332
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | 17-41549 (SC) |
Frequently Asked Questions
NPI 1972094332 is the National Provider Identifier for AMANDA RUSSELL, a Behavior Technician provider located in Summerville, SC. This NPI was enumerated on May 22, 2018.
AMANDA RUSSELL practices at 120 E 5TH NORTH ST, Summerville, SC 29483.
Quick Facts
- NPI
- 1972094332
- Type
- Individual
- Enumerated
- May 22, 2018
- Last Updated
- Sep 27, 2021
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