Individual
SHANYA M. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 POYDRAS ST UNIT A, NEW ORLEANS, LA 70119-7576
(504) 536-2388
(504) 900-8555
Mailing address
2235 POYDRAS ST UNIT A, NEW ORLEANS, LA 70119-7576
(504) 539-2388
(504) 900-8555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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