Richard Alan Russell
NPI #1619619293 in Collierville, Tennessee
Provider Information
- NPI Number
- 1619619293
- Entity Type
- Individual
- Name
- Richard Alan Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 12, 2022
- Last Updated
- Apr 12, 2022
Practice Location
- Address
- 1125 SCHILLING BLVD E STE 112
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-7078
- Phone
- (901) 248-7440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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