MS. PAMELA RUSSELL (NPI# 1700208154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700208154 |
| Entity Type | Individual |
| Full Name | MS. PAMELA RUSSELL |
| Practice Address |
625 Fair Oaks Ave Ste 200 South Pasadena CA 91030-2694 |
| Mailing Address |
6029 Farrington Ln Los Angeles CA 90042-1209 |
| Practice Telephone | 3238282775 |
| Mailing Telephone | 2136102422 |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2014-01-19 |
| 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 |
|---|---|---|---|---|
| 1952929945 | Pamela Russell | Counselor | 752 Blanding Blvd Ste 131, Orange Park, FL 32065-5796 | 2020-07-07 |
| 1972905081 | Pamela Russell | Student in an Organized Health Care Education/Training Program | 754 Deodara Dr, Altadena, CA 91001-2310 | 2014-09-19 |
| 1073778163 | Pamela June Russell | Intermediate Care Facility, Mentally Retarded | 256 Oertli Ln, Hamilton, MT 59840-9330 | 2008-07-28 |
| 1831193812 | Pamela Anne Russell | Social Worker | 3435 Pine Mill Rd, Paris, TX 75460-4938 | 2005-06-08 |
| 1760750517 | Pamela Gerard Russell | Occupational Therapist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-08 |
| 1396036687 | Pamela Russell | Physical Therapist | 1 Nardone Pl, Jersey City, NJ 07306-3514 | 2011-04-21 |
| 1083892632 | Pamela Jean Russell | Dietitian, Registered | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2008-02-06 |
| 1639296205 | Pamela Russell | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2007-03-26 |
| 1568544930 | Pamela Russell | Speech-Language Pathologist | 2203 Babcock Rd, San Antonio, TX 78229-4412 | 2006-10-19 |
| 1306882048 | Pamela Russell | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Neonatology, Philadelphia, PA 19104-4319 | 2006-06-21 |
| Street Address |
625 FAIR OAKS AVE STE 200 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023441417 | Katherine Sue Kelso | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2013-08-20 |
| 1932607355 | Jose Rubalcaba | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2018-01-31 |
| 1104332766 | Daniel Gonzalez | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-12-19 |
| 1598276206 | Andrew Barrera | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-10-20 |
| 1982115226 | Rosa Viviana Duran | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-10-13 |
| 1982134821 | Kimberly Fines Figuracion | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-06-14 |
| 1629521588 | Urian Dsilva | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2016-07-27 |
| 1982050522 | Karine Zarokian | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2016-05-13 |
| 1407215163 | Silvia Anahi Ramirez | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2016-02-22 |
| 1811356223 | Jenny Nguyen | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1235598889 | Fiona Manners-calderon | Behavioral Analyst | 1107 Fair Oaks Ave # 458, South Pasadena, CA 91030-3311 | 2016-02-10 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1023441417 | Katherine Sue Kelso | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2013-08-20 |
| 1063072148 | Melinda Docter | Behavioral Analyst | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030 | 2019-06-19 |
| 1679076798 | Dorcas Elizabet Pelico | Behavioral Analyst | 1107 Fair Oaks Ave, 458, South Pasadena, CA 91030 | 2018-03-15 |
| 1902345564 | Nallely Arechiga | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2017-02-15 |
| 1841747029 | Jose Castro | Behavioral Analyst | 625 S. Fair Oaks Ave., Suite 200, South Pasadena, CA 91030 | 2016-09-06 |
| 1427501972 | Anna N Taylor | Behavioral Analyst | 1107 Fair Oaks Ave # 458, South Pasadena, CA 91030-3311 | 2016-08-02 |
| 1629521588 | Urian Dsilva | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2016-07-27 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.