DR. Jason Andrew Russell, PHD,DRBA, MLS,MBA
NPI #1316735731 in Coronado, California
Provider Information
- NPI Number
- 1316735731
- Entity Type
- Individual
- Name
- DR. Jason Andrew Russell, PHD,DRBA, MLS,MBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- PHD,DRBA, MLS,MBA
- Enumeration Date
- Apr 26, 2025
- Last Updated
- Apr 26, 2025
Practice Location
- Address
- 215 D AVE
- City
- Coronado
- State
- California
- ZIP Code
- 92118-1300
- Phone
- (212) 372-3167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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