Russell, Greta Lynn
Russell, Greta Lynn is an individual health care provider with primary practice located at 144 Main St Ste G , East Hartford CT 06118-3239. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Greta Lynn can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
144 Main St Ste G
East Hartford CT 06118-3239
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Connecticut |
Profile Details
| NPI number | 1114596798 |
|---|---|
| LBN Legal business name | Russell, Greta Lynn |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2021 |
| Last updated | Jun 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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