Tanaesza Cyan Russell
NPI #1205474723 in Media, Pennsylvania
Provider Information
- NPI Number
- 1205474723
- Entity Type
- Individual
- Name
- Tanaesza Cyan Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 16, 2019
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 77 W BALTIMORE PIKE STE 100B
- City
- Media
- State
- Pennsylvania
- ZIP Code
- 19063-5639
- Phone
- (610) 572-5520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
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