CHARLES R RUSSELL

ENGLEWOOD, CO
NPI1306336847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CO  RBT-17-35016)
Enumeration Date2018-05-10
Last Update Date2018-05-10
Business Address
CHARLES R RUSSELL RBT-17-35016
4520 S HURON ST
ENGLEWOOD, CO 80110-5636
Phone number: 720-435-0048
Mailing Address
CHARLES R RUSSELL RBT-17-35016
4520 S HURON ST
ENGLEWOOD, CO 80110-5636
Phone number: 720-435-0048