Individual provider · Type 1 NPI

Alyssa Marie Russo

Behavior Analyst · Lakeland, FL

NPI number 1336053305 Active

Practice location

5306 Creekmur Dr
Lakeland, FL 33812-4012

Call (603) 316-4033 Map

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 1336053305

Alyssa Marie Russo's National Provider Identifier is 1336053305, issued on Sep 29, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Lakeland, FL. The record was last updated on Sep 29, 2026.