IndividualActive
Matthew Russell, ABA
NPI 1477045326 · Behavior Analyst · Grand Forks, ND
Provider details
- NPI number
- 1477045326
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- ABA
- Sex
- Male
- Sole proprietor
- No
- License
- L29 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
151 S 4th St Ste 401
Grand Forks, ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050
Approximate (ZIP-level) locationGet directions
Mailing address
151 S 4th St Ste 401
Grand Forks, ND 58201-4715
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2018-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.