Jordan Martine Katya Russell

NPI #1275331159 in Margate, Florida

Provider Information

NPI Number
1275331159
Entity Type
Individual
Name
Jordan Martine Katya Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Mar 5, 2025
Last Updated
Mar 5, 2025

Practice Location

Address
5100 W COPANS RD STE 310
State
Florida
ZIP Code
33063-7700
Phone
(954) 825-3317

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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