Angelica Russell

NPI #1245925023 in Jenks, Oklahoma

Provider Information

NPI Number: 1245925023
Entity Type: Individual
Name: Angelica Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2023
Last Updated: Sep 3, 2025

Practice Location

Address: 11982 S MULBERRY CT
City: Jenks
State: Oklahoma
ZIP Code: 74037-2181
Phone: (539) 777-0940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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