Individual
MAKAYLA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 METRO CIR SW STE A, HUNTSVILLE, AL 35801-5343
(256) 701-3134
Mailing address
2117 METRO CIR SW STE A, HUNTSVILLE, AL 35801-5343
(256) 701-4410
(256) 564-7320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2025-132
AL
106S00000X
Behavior Technician
Primary
RBT-21-175326
AL
Other
Enumeration date
06/09/2021
Last updated
09/19/2025
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