Individual
BRIANNA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 S NOGALES ST UNIT A104, WEST COVINA, CA 91792-3057
(310) 490-8374
Mailing address
4141 S NOGALES ST UNIT A104, WEST COVINA, CA 91792-3057
(310) 490-8374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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