Maryia Russell
Behavior Technician in Debary, FL. Individual provider (NPI-1).
NPI number1194698795
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1194698795
- Entity type
- Individual (NPI-1)
- Name
- Maryia Russell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2025
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
454 Fort Florida RdDebary, FL 32713-9714
Phone 386-562-0170
Mailing address
454 Fort Florida RdDebary, FL 32713-9714
Phone 386-562-0170
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All 39 Behavior Technician providers in Debary · All 368 providers in Debary
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