Individual provider · Type 1 NPI

Jason Andrew Russell, PhD, DRBA, MLS, MBA

Behavior Analyst · Coronado, CA

NPI number 1316735731 Active

Practice location

215 D Ave
Coronado, CA 92118-1300

Mailing address

PO Box 33228
San Diego, CA 92163-3228

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1316735731

Jason Andrew Russell, PhD, DRBA, MLS, MBA's National Provider Identifier is 1316735731, issued on Apr 26, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Coronado, CA. The record was last updated on Apr 26, 2025.