Mackenzie Russell

NPI #1144688847 in Littleton, Colorado

Provider Information

NPI Number: 1144688847
Entity Type: Individual
Name: Mackenzie Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 9, 2016
Last Updated: Feb 9, 2016

Practice Location

Address: 5957 S GALLUP ST
Address 2: UNIT 201
City: Littleton
State: Colorado
ZIP Code: 80120-2742
Phone: (843) 422-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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