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Lekel A Russell

Behavior Technician in Stone Mountain, GA. Individual provider (NPI-1).

NPI number1386554384
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1386554384
Entity type
Individual (NPI-1)
Name
Lekel A Russell
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-24-320709GAYes

Practice location

6643 Blantyre Blvd
Stone Mountain, GA 30087-5499

Phone 470-368-7857

Mailing address

6643 Blantyre Blvd
Stone Mountain, GA 30087-5499

Phone 470-368-7857

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