Individual
MRS. SARA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
556 E 5TH ST, BROOKLYN, NY 11218-4603
(646) 584-5821
Mailing address
556 E 5TH ST, BROOKLYN, NY 11218-4603
(646) 584-5821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
05/09/2023
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