Russo, Lori

Russo, Lori is an individual health care provider with primary practice located at 6301 Campus Circle Dr E Suite 100A, Irving TX 75063-2712. 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, Lori can be contacted via phone (469) 374-0700.

Contact Information

Primary practice address
6301 Campus Circle Dr E Suite 100A Irving TX 75063-2712
Phone: (469) 374-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1013151067
LBN Legal business name Russo, Lori
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2009
Last updated Apr 21st, 2009 - about 15 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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