IndividualActive
Ladonna Russum, RBT
NPI 1609428606 · Assistant Behavior Analyst · Gulfport, MS
Provider details
- NPI number
- 1609428606
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9480 Three Rivers Rd
Gulfport, MS 39503-4248
Phone: (228) 313-3106
Approximate (ZIP-level) locationGet directions
Mailing address
102 Kelley Cv
Pass Christian, MS 39571-2226
Registry dates
- Enumerated
- 2019-07-10
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.