RUSSELL JOHANN

SHOREHAM, NY
NPI1659005684
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2022-07-14
Last Update Date2022-07-14
Business Address
RUSSELL JOHANN
6 BRADLEY DR
SHOREHAM, NY 11786-2328
Phone number: 631-384-3154
Mailing Address
RUSSELL JOHANN
6 BRADLEY DR
SHOREHAM, NY 11786-2328
Phone number: 631-384-3154
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