Grace Russell
NPI #1275246142 in Boston, Massachusetts
Provider Information
- NPI Number
- 1275246142
- Entity Type
- Individual
- Name
- Grace Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 5, 2023
- Last Updated
- Jan 5, 2023
Practice Location
- Address
- 90 CANAL ST STE 4
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02114-2022
- Phone
- (888) 922-2843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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