Individual
MS. CHRISTEN ELIZABETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
39 WOODFIELD CIR, PEMBERTON, NJ 08068-1563
(609) 504-0897
Mailing address
39 WOODFIELD CIR, PEMBERTON, NJ 08068-1563
(609) 504-0897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-04-1470
NJ
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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