Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY RUSSELL
ActiveSTACEY RUSSELL is a Behavior Technician healthcare provider located in SAGAMORE BEACH, Massachusetts. NPI 1790206803 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SAGAMORE BEACH, MA
Registration Details
- NPI Number
- 1790206803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2017 (9.1242348892917 yrs)
- Last Updated
- Jun 28, 2017
Practice Information
- Address
-
6 NAUSHON RDSAGAMORE BEACH, MA, 025622718Browse MA providers · Browse ZIP 02562
- Phone
- 8606949282
- Primary Specialty
-
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.