Taylor Russell

NPI #1164259339 in Monument, Colorado

Provider Information

NPI Number: 1164259339
Entity Type: Individual
Name: Taylor Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 17230 JACKSON CREEK PKWY STE 220
City: Monument
State: Colorado
ZIP Code: 80132-7304
Phone: (719) 597-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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