Individual provider · Type 1 NPI

Jaclyn Russell

Behavior Analyst · Chicago, IL

NPI number 1578435285 Active

Practice location

6825 N Olcott Ave
Chicago, IL 60631-1127

Call (224) 305-1203 Map

Mailing address

3839 Clifford Ter
Skokie, IL 60076-2804

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	738971 (IL)

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 1578435285

Jaclyn Russell's National Provider Identifier is 1578435285, issued on Sep 22, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 22, 2025.