Kacey Russell, RBT

NPI #1003440728 in Olivette, Missouri

Provider Information

NPI Number: 1003440728
Entity Type: Individual
Name: Kacey Russell, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Mar 3, 2020
Last Updated: Feb 3, 2023

Practice Location

Address: 9374 OLIVE BLVD STE 101
City: Olivette
State: Missouri
ZIP Code: 63132-3253
Phone: (314) 932-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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