STEPHANIE RUSSELL (NPI# 1376926493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376926493 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUSSELL |
| Practice Address |
21505 N 78th Ave 125 Peoria AZ 85382-3356 |
| Mailing Address |
801 E Camelback Rd Phoenix AZ 85014-3660 |
| Practice Telephone | 6035358341 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598370 | Stephanie Nicole Russell | Nurse Practitioner | 2977 Westinghouse Rd Ste 3, Horseheads, NY 14845-8120 | 2017-06-23 |
| 1235559303 | Stephanie Russell | Nurse Practitioner | 24831 Blane Dr, Katy, TX 77493-2712 | 2014-04-16 |
| 1982684726 | Stephanie M Russell | Pediatrics | 10639 Meeting Street, Suite 101, Louisville, KY 40059-7544 | 2006-01-18 |
| 1568070316 | Stephanie Michelle Russell | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2020-07-17 |
| 1396224333 | Stephanie Russell | Registered Nurse | 1200 Summit Ave Ste 880, Fort Worth, TX 76102-4429 | 2018-08-10 |
| 1154815652 | Stephanie Russell | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1417321860 | Stephanie Russell | Registered Nurse | 698 Howard St, Spartanburg, SC 29303-2964 | 2015-11-23 |
| 1033517644 | Stephanie Russell | Social Worker | 415 N Jackson St, Americus, GA 31709-3015 | 2014-12-12 |
| 1437553195 | Stephanie Russell | Massage Therapist | 6441 Sw Canyon Ct, Suite 102, Portland, OR 97221-1458 | 2014-10-09 |
| 1710231014 | Stephanie A. Russell | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2012-11-08 |
| Street Address |
21505 N 78TH AVE 125 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497466 | Michelle Ramos Martinez | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-11-02 |
| 1598364234 | Tyler Harnick | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1225637960 | Janelle Guardado Torres | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1770182412 | Maclay Patten | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1497354138 | Megan Claudio | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1790384436 | Anastacia Parra | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1154920890 | Zackcola Patton | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1063011708 | Shelby Jones | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1881293520 | Marilyn Salazar | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-23 |
| 1194323790 | Michelle Rigg | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| 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 |
|---|---|---|---|---|
| 1538795281 | Segolene Waechter | Behavioral Analyst | 1108 N Glenwood Ave, Peoria, IL 61606-1009 | 2020-03-13 |
| 1093377889 | Rodrigo Esteban Mendoza | Behavioral Analyst | 6916 W Sweetwater Ave, Peoria, AZ 85381-5020 | 2019-07-02 |
| 1538623772 | Mackinzee Smith | Behavioral Analyst | 916 W Forrest Hill Ave, Peoria, IL 61604-1481 | 2019-01-22 |
| 1831668086 | Jessica Marie Fowler | Behavioral Analyst | 27333 N 75th Dr, Peoria, AZ 85383-6344 | 2018-11-16 |
| 1376020339 | Erin Marie Cavanagh | Behavioral Analyst | 3805 N Avalon Pl, Peoria, IL 61614-7022 | 2018-07-23 |
| 1053817643 | Ame Lynne Milosevich | Behavioral Analyst | 8014 W Redbird Rd, Peoria, AZ 85383-6263 | 2018-04-03 |
| 1750748695 | Michele Case | Behavioral Analyst | 6826 W Brown St, Peoria, AZ 85345-6876 | 2016-01-22 |
| 1598174617 | Nancy I Salinas Burgett | Behavioral Analyst | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2014-08-04 |
| 1164850095 | Aurel Burz | Behavioral Analyst | 8249 W Crocus Dr, Peoria, AZ 85381-4648 | 2013-11-01 |
| 1740622364 | Nicole A Barton | Behavioral Analyst | 8817 W Loma Ln, Peoria, AZ 85345-2560 | 2013-07-24 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on STEPHANIE RUSSELL.
| 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.