Dezirae Louise Russo

  • NPI 1235697046
According to our database, the NPI number for Dezirae Louise Russo is 1235697046 and activated since 5 years ago. Dezirae Louise Russo is an individual provider who specializes in Behavior Technician, and the primary practice location is 3361 36th St Se, Kentwood, MI 49512. You can also contact Dezirae Louise Russo via telephone number is (616) 942-2522. Provider NPI information was last updated on 03/11/2019.

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Overview of Dezirae Louise Russo

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/11/2019
  • Last updated: 03/11/2019

Primary Scrop of Practice

  • Taxonomy Code: 106S00000X
  • Specialty: Behavior Technician
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 4664 Lamplight Ln Se Apt 4
    Grand Rapids, MI 49546
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 3361 36th St Se
    Kentwood, MI 49512
  • Phone: 616-942-2522
  • Fax:

Scope of Practice

  • Taxonomy Code: 106S00000X
  • Specialty: Behavior Technician
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 106S00000X
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: HOPE NETWORK

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dezirae Louise Russo?
  • A: The npi number for Dezirae Louise Russo is 1235697046.
  • Q: What are Dezirae Louise Russo's specialties?
  • A: Dezirae Louise Russo's specialties are Behavior Technician and different specialities.
  • Q: What is the medical license for Dezirae Louise Russo?
  • A: The medical license number for Dezirae Louise Russo is unknow and issued in unknow in USA.
  • Q: Where is Dezirae Louise Russo practice location?
  • A: Dezirae Louise Russo is practicing at 3361 36th St Se, Kentwood, MI 49512.
  • Q: How to contact Dezirae Louise Russo?
  • A: You can contact Dezirae Louise Russo via 616-942-2522.