Individual
AMERICA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1026
(954) 478-4746
Mailing address
307 LAKEVIEW DR, CORAL SPRINGS, FL 33071-4011
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-363562
FL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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