Russell, Matthew David

Russell, Matthew David is an individual health care provider with primary practice located at 151 S 4Th St Ste 401 , Grand Forks ND 58201-4715. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Russell, Matthew David can be contacted via phone (701) 795-3000.

Contact Information

Primary practice address
151 S 4Th St Ste 401 Grand Forks ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L29 North Dakota

Profile Details

NPI number 1477045326
LBN Legal business name Russell, Matthew David
Credentials ABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Jun 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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