NPI 1477045326

Matthew David Russell, ABA

Practitioner Behavior Analyst Grand Forks, ND

Practice location

Address: 151 S 4th St STE 401, Grand Forks, ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence L29 (ND)

Other Behavior Analyst providers in North Dakota →

Registry record

NPI: 1477045326
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2018
Record last updated: 5 Jun 2018

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.