NPI 1003440728

Kacey Russell, RBT

Practitioner Behavior Technician Olivette, MO

Practice location

Address: 9374 Olive Blvd STE 101, Olivette, MO 63132-3253
Phone: (314) 932-2402

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Missouri →

Registry record

NPI: 1003440728
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2020
Record last updated: 3 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.