NPI 1003603044

Eldon Russell

Practitioner Behavior Technician Humboldt, NE

Practice location

Address: 810 Central Ave, Humboldt, NE 68376-6111
Phone: (402) 862-2151
Mailing address: 1649 61st St, Brooklyn, NY 11204-2746

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003603044
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2025
Record last updated: 8 Dec 2025

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.