Shaunta Russell
NPI #1093566176 in Greenville, North Carolina
Provider Information
- NPI Number
- 1093566176
- Entity Type
- Individual
- Name
- Shaunta Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 28, 2024
- Last Updated
- Mar 28, 2024
Practice Location
- Address
- 118 OAKMONT DR
- City
- Greenville
- State
- North Carolina
- ZIP Code
- 27858-5936
- Phone
- (855) 223-7123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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