Deirdre L Camacho-Russell, MSP, LBS Valid NPI
Individual provider · Behavior Analyst · Philadelphia, PA
- NPI
- 1760894752
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- BH007172 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-05-24
- Last updated
- 2024-11-07
Practice location
1329 N 56th St
Philadelphia, PA 19131-4225
(215) 251-9139