Individual
DEANNA MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BRYANT AVE APT 6AB, WHITE PLAINS, NY 10605-1935
(914) 438-4999
Mailing address
90 BRYANT AVE APT 6AB, WHITE PLAINS, NY 10605-1935
(914) 438-4999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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