Individual
MARISSA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
5 PARAGON DR, MONTVALE, NJ 07645-1791
(845) 747-0567
Mailing address
32 TAYLOR RD, HUGUENOT, NY 12746-5218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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