IndividualActive
Allison Russell
NPI 1407510159 · Behavior Technician · Plainfield, IL
Provider details
- NPI number
- 1407510159
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21-179667 (IL)
Practice location
14421 S Wallin Dr Ste 109
Plainfield, IL 60544-2502
Phone: (815) 955-3769
Mailing address
14421 S Wallin Dr Ste 109
Plainfield, IL 60544-2502
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.