ROBERT LUIS RUSSELL

MELBOURNE, FL
NPI1982352217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-21-191537)
Enumeration Date2022-03-15
Last Update Date2022-03-15
Business Address
ROBERT LUIS RUSSELL
3790 DAIRY RD
MELBOURNE, FL 32904-7630
Phone number: 850-294-1982
Mailing Address
ROBERT LUIS RUSSELL
3061 MARY ST
WEST MELBOURNE, FL 32904-6742
Phone number: 850-294-1982