Maiya N Russell, RBT

NPI #1013503770 in Knoxville, Tennessee

Provider Information

NPI Number: 1013503770
Entity Type: Individual
Name: Maiya N Russell, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 9038 CROSS PARK DR STE 105
City: Knoxville
State: Tennessee
ZIP Code: 37923-4729
Phone: (865) 394-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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