Individual provider · Type 1 NPI
Sherline Russell
Specialist · Bronx, NY
NPI number
1972161362
Active
Practice location
3965 Bell Ave
Bronx, NY 10466-2432
Mailing address
7000 Austin St Ste 200
Forest Hills, NY 11375-4739
Other practice locations
- 7000 Austin St Ste 200, Forest Hills, NY 11375-4739 · (718) 762-7633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1321940191 (NY) |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1972161362
Sherline Russell's National Provider Identifier is 1972161362, issued on May 31, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Jan 23, 2020.