Lacey Russell

NPI #1093490260 in Columbus, Ohio

Provider Information

NPI Number: 1093490260
Entity Type: Individual
Name: Lacey Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 16, 2023
Last Updated: Jun 16, 2023

Practice Location

Address: 2100 STELLA COURT
City: Columbus
State: Ohio
ZIP Code: 43215
Phone: (614) 252-8402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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