# BEHAVIOR AND SLEEP MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689804379
- **Authorized official:** MR. RAYMOND GRANT RUSSELL (M.D.)
- **Authorized official phone:** (937) 434-4611

## Contact information

- **Practice address:** 4000 MIAMISBURG CENTERVILLE ROAD, SLEEP LAB, MIAMISBURG, OH 45342
- **Practice address phone:** (937) 885-7556
- **Practice address fax:** (937) 384-4826
- **Mailing address:** 880 VINTAGE LAKE COURT, DAYTON, OH 45458-4088
- **Mailing address phone:** (937) 885-7556
- **Mailing address fax:** (937) 384-4826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 35-036352 | OH | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009