Individual provider · Type 1 NPI

Jennifer Russo, BCBA

Behavior Analyst · Port Chester, NY

NPI number 1972172336 Active

Practice location

243 N Regent St
Port Chester, NY 10573-2642

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1200 (CT)
Behavior Analyst Primary 103K00000X002110 (NY)

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 1972172336

Jennifer Russo, BCBA's National Provider Identifier is 1972172336, issued on Jun 21, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Port Chester, NY. The record was last updated on Jun 21, 2021.