Paige Lillian Russo

NPI #1245050269 in Valdosta, Georgia

Provider Information

NPI Number: 1245050269
Entity Type: Individual
Name: Paige Lillian Russo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 3584 MOUNT ZION CHURCH RD
City: Valdosta
State: Georgia
ZIP Code: 31605-6510
Phone: (229) 242-1895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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