Gina Russell

NPI #1003350588 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1003350588
Entity Type: Individual
Name: Gina Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 200 GRIFFIN RD STE 5
City: Portsmouth
State: New Hampshire
ZIP Code: 03801-7145
Phone: (800) 778-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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