Lori Russo, BCBA

NPI #1013151067 in Irving, Texas

Provider Information

NPI Number
1013151067
Entity Type
Individual
Name
Lori Russo, BCBA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Credential
BCBA
Enumeration Date
Apr 21, 2009
Last Updated
Apr 21, 2009

Practice Location

Address
6301 CAMPUS CIRCLE DR E
Address 2
SUITE 100A
City
Irving
State
Texas
ZIP Code
75063-2712
Phone
(469) 374-0700

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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