IndividualActive
Carla Russell
NPI 1639778590 · Behavior Technician · Covington, WA
Provider details
- NPI number
- 1639778590
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
27023 164th Ave Se
Covington, WA 98042-8241
Phone: (253) 639-7146
Approximate (ZIP-level) locationGet directions
Mailing address
2824 F St Se # 2824
Auburn, WA 98002-7559
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.