MRS. Amanda Lee Russell, BCBA

NPI #1548517642 in Danvers, Massachusetts

Provider Information

NPI Number: 1548517642
Entity Type: Individual
Name: MRS. Amanda Lee Russell, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 7, 2012
Last Updated: Nov 17, 2016

Practice Location

Address: 6 SOUTHSIDE RD
City: Danvers
State: Massachusetts
ZIP Code: 01923-1409
Phone: (413) 464-1925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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