IndividualActive
Amber Russell
NPI 1063093359 · Behavior Technician · Goose Creek, SC
Provider details
- NPI number
- 1063093359
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
222 Red Bank Rd
Goose Creek, SC 29445-4502
Phone: (843) 628-2935
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1667
Goose Creek, SC 29445-1667
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.