Individual provider · Type 1 NPI
Kevin Russo, BCBA, LABA
Behavior Analyst · Waltham, MA
Practice location
564 Main St Ste 209
Waltham, MA 02452-5568
Mailing address
738 Main St # 269
Waltham, MA 02451-0616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst Primary | 103K00000X | 155 (MA) |
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 1740899665
Kevin Russo, BCBA, LABA's National Provider Identifier is 1740899665, issued on Jul 27, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Waltham, MA. The record was last updated on Jul 27, 2020.