What is Charly Russell's NPI number?

Charly Russell's National Provider Identifier (NPI) is 1124782503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charly Russell's specialty?

Charly Russell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Charly Russell located?

Charly Russell's practice location on file with NPPES is 835 Proton Rd Ste 105, San Antonio, TX 78258-4203.

What is Charly Russell's phone number?

The practice phone number listed in the NPPES registry for Charly Russell is (210) 610-9175.

Is Charly Russell's NPI active?

Yes — Charly Russell's NPI (1124782503) is active in the NPPES registry as of the last update on 2021-10-22.

IndividualActive

Charly Russell, BT

NPI 1124782503 · Behavior Technician · San Antonio, TX

Charly Russell, BT is a Behavior Technician provider in San Antonio, TX (NPI 1124782503).

Provider details

NPI number: 1124782503
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Credential: BT
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

835 Proton Rd Ste 105

San Antonio, TX 78258-4203

Phone: (210) 610-9175

Street-level locationGet directions

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Mailing address