Jada Nicole Russ
NPI #1790481588 in College Park, Georgia
Provider Information
- NPI Number
- 1790481588
- Entity Type
- Individual
- Name
- Jada Nicole Russ
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 2, 2023
- Last Updated
- Feb 2, 2023
Practice Location
- Address
- 2601 ROOSEVELT HWY APT L8
- City
- College Park
- State
- Georgia
- ZIP Code
- 30337-6219
- Phone
- (470) 786-2011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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