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Aviv Nissan Russ

Behavior Technician in Torrance, CA. Individual provider (NPI-1).

NPI number1104768290
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1104768290
Entity type
Individual (NPI-1)
Name
Aviv Nissan Russ
Sole proprietor
No
Enumeration date
Apr 7, 2026
Certification date
Apr 7, 2026
Last updated
Apr 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

20101 Hamilton Ave
100
Torrance, CA 90502-1351

Phone 888-428-3223 · Fax 323-866-1881

Mailing address

4221 Wilshire Blvd
300
Los Angeles, CA 90010-3512

Phone 888-428-3223 · Fax 323-866-1881

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