RAESHA RUSSELL (NPI# 1912494006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912494006 |
| Entity Type | Individual |
| Full Name | RAESHA RUSSELL |
| Practice Address |
214 West 9th St Clovis NM 88101 |
| Mailing Address |
214 W 9th St Clovis NM 88101-6510 |
| Practice Telephone | 5752181769 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
214 WEST 9TH ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| 1114395811 | Megan Hall | Counselor | 2700 East 7th St, Clovis, NM 88101 | 2015-09-11 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1356948624 | Tierny C Krasowsky | Behavior Technician | 201 E Llano Estacado Blvd, Clovis, NM 88101-3708 | 2020-10-08 |
| 1306451018 | Stephanie Ann Braun | Behavior Technician | 1945 Backowski Ave, Clovis, CA 93611-6175 | 2020-09-10 |
| 1003427436 | Wenddy Lino | Behavior Technician | 2261 Villa Ave, Clovis, CA 93612-4377 | 2020-08-10 |
| 1124638739 | Samantha Hicks | Behavior Technician | 1124 Helm Ave Apt G, Clovis, CA 93612-1556 | 2020-08-07 |
| 1902431661 | Jonathan Jose Luis Garcia | Behavior Technician | 500 N Reid St, Clovis, NM 88101-7263 | 2020-03-03 |
| 1902438708 | Cora Lynn Hogan | Behavior Technician | 124 Raven Dr, Clovis, NM 88101-2506 | 2020-02-10 |
| 1053942656 | Nicole Renee Arguelles | Behavior Technician | 2917 Lisa Ave, Clovis, NM 88101-3213 | 2020-02-01 |
| 1508496746 | Angelica Daniella Nieto | Behavior Technician | 3205 N Main St Apt 700, Clovis, NM 88101-3586 | 2020-01-15 |
| 1871137430 | Michelle Arias | Behavior Technician | 905 W Manana Blvd, Clovis, NM 88101-3302 | 2019-11-06 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on RAESHA 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.