MS. Jennifer Russell
NPI #1740953629 in Saint Johns, Florida
Provider Information
- NPI Number
- 1740953629
- Entity Type
- Individual
- Name
- MS. Jennifer Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 141 N LAKE CUNNINGHAM AVE
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-7939
- Phone
- (904) 295-6479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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