Zachary Adam Russell

NPI #1487339297 in Tehachapi, California

Provider Information

NPI Number: 1487339297
Entity Type: Individual
Name: Zachary Adam Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 19, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 29501 HORSETHIEF DR
City: Tehachapi
State: California
ZIP Code: 93561-5433
Phone: (661) 473-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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