Individual provider · Type 1 NPI

Tara Nicole Russell, MS, BCBA, LBA

Behavior Analyst · Mesa, AZ

NPI number 1649429465 Active

Practice location

6550 E Broadway Rd Ste 110
Mesa, AZ 85206-1734

Call (480) 672-0772 Map

Fax (317) 520-8200

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice locations

  • 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 · (855) 832-6727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Behavior Analyst Primary 103K00000XBEH-000896 (AZ)

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…

51 other providers at this address

Other behavior analyst providers in Mesa

See all in Mesa →

About NPI 1649429465

Tara Nicole Russell, MS, BCBA, LBA's National Provider Identifier is 1649429465, issued on Sep 17, 2008. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Mesa, AZ. The record was last updated on May 1, 2023.