Russo, Laura

Russo, Laura is an sole proprietor health care provider with primary practice located at 6909 Old Highway 441 S Ste 119 , Mount Dora FL 32757-7039. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russo, Laura can be contacted via phone (352) 358-5001.

Contact Information

Primary practice address
6909 Old Highway 441 S Ste 119 Mount Dora FL 32757-7039
Phone: (352) 358-5001
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-43234 Florida

Profile Details

NPI number 1467978783
LBN Legal business name Russo, Laura
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2017
Last updated Apr 29th, 2022 - about 2 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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