NPI 1013151067

Lori Russo, BCBA

Practitioner Behavior Analyst Irving, TX

Practice location

Address: 6301 Campus Circle Dr E Suite 100a, Irving, TX 75063-2712
Phone: (469) 374-0700

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013151067
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2009
Record last updated: 21 Apr 2009

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.