KEVIN RUSSO

WALTHAM, MA
NPI1740899665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MA  155)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
KEVIN RUSSO BCBA, LABA
564 MAIN ST STE 209
WALTHAM, MA 02452-5568
Phone number: 781-736-7900
Mailing Address
KEVIN RUSSO BCBA, LABA
738 MAIN ST # 269
WALTHAM, MA 02451-0616
Phone number: 617-797-5511
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