NPI 1336779040
Kylie Russell
Practice location
- Address
- 220 N 1200 E STE 102, Lehi, UT 84043-5863
- Phone
- (801) 655-4950
- Mailing address
- 1443 W 800 N, Orem, UT 84057-2875
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1336779040
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2020
- Record last updated
- 14 Dec 2022
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.