| NPI | 1780217182 |
|---|---|
| Former Name | VALERIE M RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-06-01 |