MRS. JESSIE DELLO RUSSO (NPI# 1184162125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184162125 |
| Entity Type | Individual |
| Full Name | MRS. JESSIE DELLO RUSSO |
| Credential | M.A., BCBA |
| Practice Address |
76 Stirling Rd Ste 105 Warren NJ 07059-5797 |
| Practice Telephone | 9084900100 |
| Mailing Telephone | 9084900100 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 356189 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1028 Springfield Ave, Mountainside, NJ 070922905 | 9084900100 |
| Street Address |
76 STIRLING RD STE 105 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013463108 | Carrie Kahana | Behavioral Analyst | 76 Stirling Rd Ste 105, Warren, NJ 07059-5778 | 2016-08-29 |
| 1558838243 | Nicole Melissa Lee | Behavioral Analyst | 76 Stirling Rd Ste 105, Warren, NJ 07059-5797 | 2018-10-31 |
| 1891280327 | Heather Bazarnicki Fiorentino | Behavioral Analyst | 76 Stirling Rd Ste 105, Warren, NJ 07059-5797 | 2018-06-27 |
| 1467942284 | Kristen Marie Labbate | Behavioral Analyst | 76 Stirling Rd Ste 105, Warren, NJ 07059-5797 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849336 | Amani Glore | Behavioral Analyst | 25224 Hoover Rd Apt 103, Warren, MI 48089-1122 | 2020-01-02 |
| 1346891090 | Nautica Najaa Davis | Behavioral Analyst | 23835 Methuen Ave Apt Suite, Warren, MI 48091-1855 | 2019-09-24 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1588100085 | Tionna Chantel Chambliss | Behavioral Analyst | 3601 E 11 Mile Rd Ste C, Warren, MI 48092-2878 | 2017-01-09 |
| 1013463108 | Carrie Kahana | Behavioral Analyst | 76 Stirling Rd Ste 105, Warren, NJ 07059-5778 | 2016-08-29 |
| 1699142943 | Grethe Yackanin | Behavioral Analyst | 28 Livingston Ave, Warren, NJ 07059-5743 | 2015-08-21 |
| 1093123036 | Mattie Vail | Behavioral Analyst | 629 Roselawn Ave Ne, Warren, OH 44483-5326 | 2014-07-22 |
| 1982830683 | Lindsay Candel | Behavioral Analyst | 8863 Sherwood Dr Ne, Warren, OH 44484-1767 | 2009-06-09 |
| 1427691898 | Sara Jones | Behavioral Analyst | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2019-10-17 |
| 1831663608 | Rebeca Glasgow | Behavioral Analyst | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2019-01-15 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.