Angela Marie Russo, BCBA
NPI #1053841858 in Pomona, California
Provider Information
- NPI Number
- 1053841858
- Entity Type
- Individual
- Name
- Angela Marie Russo, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Jun 14, 2017
- Last Updated
- Jun 20, 2017
Practice Location
- Address
- 801 CORPORATE CENTER DR STE 210
- City
- Pomona
- State
- California
- ZIP Code
- 91768-2627
- Phone
- (909) 618-0974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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