Jennifer Russo, BCBA

NPI #1972172336 in Port Chester, New York

Provider Information

NPI Number: 1972172336
Entity Type: Individual
Name: Jennifer Russo, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jun 21, 2021
Last Updated: Jun 21, 2021

Practice Location

Address: 243 N REGENT ST
City: Port Chester
State: New York
ZIP Code: 10573-2642
Phone: (617) 233-9907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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