NPI 1609428606

Ladonna Russum, RBT

Practitioner Assistant Behavior Analyst Gulfport, MS

Practice location

Address: 9480 Three Rivers Rd, Gulfport, MS 39503-4248
Phone: (228) 313-3106
Mailing address: 102 Kelley Cv, Pass Christian, MS 39571-2226

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1609428606
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2019
Record last updated: 21 May 2024

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.