Individual
BRITTANE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, BCBA
Contact information
Practice address
2651 DALLAS HWY SW, MARIETTA, GA 30064-2541
(678) 486-1904
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80196
GA
Other
Enumeration date
04/17/2025
Last updated
10/31/2025
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