Individual
ALEX RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 TOWN CENTER DR STE NP01, ANNISTON, AL 36205-4101
(256) 954-1874
Mailing address
650 GRAYWOOD AVE, EASTABOGA, AL 36260-5144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
02/10/2026
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