Individual provider · Type 1 NPI

Shelby Jean Russom

Behavior Technician · Southern Pines, NC

NPI number 1295639680 Active

Practice location

3015 Legends Dr
Southern Pines, NC 28387-3457

Call (501) 860-4454 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-543377 (NC)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1295639680

Shelby Jean Russom's National Provider Identifier is 1295639680, issued on Oct 7, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southern Pines, NC. The record was last updated on Oct 7, 2026.