LILLIAN KATHERINE RUSSELL (NPI# 1760030779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760030779 |
| Entity Type | Individual |
| Full Name | LILLIAN KATHERINE RUSSELL |
| Practice Address |
9 Centennial Dr Unit 202 Peabody MA 01960-7940 |
| Practice Telephone | 9789279410 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
9 CENTENNIAL DR UNIT 202 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427275551 | Tania Leigh Ramos | Marriage & Family Therapist | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2007-04-19 |
| 1487269304 | Daniel James Horensky | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2020-09-09 |
| 1669087482 | Lindsay Allen | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2020-09-09 |
| 1689287336 | Kaleb Webb | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2020-08-24 |
| 1063043966 | Greg Passano | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2020-01-29 |
| 1912555921 | Gabriela Gonzalez | Behavioral Analyst | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2019-09-03 |
| 1235794272 | Malana Jean Malonson | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2019-05-06 |
| 1982268462 | Louise Kalumba | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2019-04-30 |
| 1396308649 | Emanuel Frank Napoli | Registered Nurse | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2019-04-22 |
| 1215590401 | Victoria Mercado | Counselor | 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 | 2019-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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| 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 |
|---|---|---|---|---|
| 1700414901 | Mandy Egan | Behavioral Analyst | 20 Redberry Ln, Peabody, MA 01960-4950 | 2020-04-01 |
| 1235606252 | Kayla Nicole Santangelo | Behavioral Analyst | 38 Goodale St, Peabody, MA 01960-1219 | 2018-10-29 |
| 1447762372 | Ashley Gutierrez | Behavioral Analyst | 83 Pine St Ste 102, Peabody, MA 01960-3635 | 2017-11-01 |
| 1578090643 | Kelly Sousa | Behavioral Analyst | 75 Aborn St # 3, Peabody, MA 01960-5657 | 2017-05-18 |
| 1740733310 | Kathleen Charochak | Behavioral Analyst | 16 Margaret Rd, Peabody, MA 01960-5747 | 2016-07-29 |
| 1518220250 | Kathleen A Taylor | Behavioral Analyst | 32 Jennings Cir, Peabody, MA 01960-3568 | 2012-06-18 |
| 1134446453 | Reagan Michelle Cassidy | Behavioral Analyst | 83 Pine St, Suite 102, Peabody, MA 01960-3646 | 2010-04-26 |
| 1952941098 | Hannah Everson | Behavioral Analyst | 83 Pine St Ste 102, Peabody, MA 01960-3635 | 2020-01-07 |
| 1558919589 | Leanna Muccioli | Behavioral Analyst | 9 Centennial Dr, Peabody, MA 01960-7939 | 2019-09-03 |
| 1386292399 | Colleen Rooney | Behavioral Analyst | 9 Centennial Dr, Peabody, MA 01960-7939 | 2019-09-03 |
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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.