Alexis T Agudello-Russo, RBT

NPI #1255000949 in Menifee, California

Provider Information

NPI Number: 1255000949
Entity Type: Individual
Name: Alexis T Agudello-Russo, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 7, 2021
Last Updated: Sep 7, 2021

Practice Location

Address: 27167 KEPLER ST
City: Menifee
State: California
ZIP Code: 92584-8571
Phone: (661) 607-3578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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