Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN RUSSO, BCBA, LABA
Active Sole ProprietorKEVIN RUSSO, BCBA, LABA is a Behavior Analyst healthcare provider located in WALTHAM, Massachusetts. NPI 1740899665 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · WALTHAM, MA
Registration Details
- NPI Number
- 1740899665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2020 (6.081382094606 yrs)
- Last Updated
- Jul 27, 2020
- License
-
155 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
564 MAIN ST STE 209WALTHAM, MA, 024525568Browse MA providers · Browse ZIP 02452
- Phone
- 7817367900
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in WALTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| MS. MELISSA DAWN PLUNKETT | BCBA | 1336465608 |
| ELIZABETH ANNE KERN | BA | 1104142991 |
| RACHEL L BISSI | — | 1588981237 |
| KARLIE MORROW | — | 1871810176 |
| MS. REGINA SALL | — | 1548587561 |
| MONICA DEFRANCA | — | 1255650933 |
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.