Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TARA NICOLE RUSSELL, MS, BCBA, LBA
ActiveMISS TARA NICOLE RUSSELL, MS, BCBA, LBA is a Behavior Analyst healthcare provider located in MESA, Arizona. NPI 1649429465 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MESA, AZ
Registration Details
- NPI Number
- 1649429465
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2008 (17.718950667967 yrs)
- Last Updated
- May 1, 2023
- License
-
BEH-000896 (AZ)
Practice Information
- Address
-
6550 E BROADWAY RD STE 110MESA, AZ, 852061734Browse AZ providers · Browse ZIP 85206
- Phone
- 4806720772
- Fax
- 3175208200
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| JESSICA P GREEN | — | 1417108218 |
| MS. ERIN MARIE JUAREZ | M.A, BCBA | 1184862682 |
| MRS. JENNICA KRISTINE WARNER | BCBA | 1285872218 |
| MR. ERIC ROBERT FREY | MA, BCBA | 1902038532 |
| JANINE A CAWTHORNE | BCBA | 1669708822 |
| MRS. JESSICA LEE IRWIN | BCBA | 1306141478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.