Active NPIIndividual provider

Marissa Russell, MS, BCBA, LBA

Behavior Analyst in Montvale, New Jersey

NPI Number1306715131
Practice location
5 Paragon Dr, Montvale, NJ 07645-1791
Fax
—
Last updated
October 31, 2025

Marissa Russell is a Behavior Analyst based in Montvale, NJ. Marissa Russell practices in Montvale, NJ and has the professional credentials of MS, BCBA, LBA. The NPI Number for Marissa Russell is 1306715131. The current practice location address for Marissa Russell is 5 Paragon Dr, Montvale, NJ 07645-1791 and can be reached out via phone at 845-747-0567.

Provider Profile Details

NPI Number
1306715131
Provider Name
Marissa Russell
Credential
MS, BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
5 Paragon Dr, Montvale, NJ 07645-1791
Phone Number
845-747-0567
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
October 31, 2025
Last Update Date
October 31, 2025
Certification Date
October 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Paragon Dr
Montvale, NJ 07645-1791
Zip
07645-1791
Phone Number
845-747-0567
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
32 Taylor RD
Huguenot, NY 12746-5218
City
Huguenot
State
NY
Zip
12746-5218

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Russell, MS, BCBA, LBA?

The NPI number of Marissa Russell, MS, BCBA, LBA is 1306715131. It was assigned on October 31, 2025 and is currently active in the NPPES registry.

What is the specialty of Marissa Russell, MS, BCBA, LBA?

Marissa Russell, MS, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Marissa Russell, MS, BCBA, LBA practice?

The practice location is 5 Paragon Dr, Montvale, NJ 07645-1791. The office can be reached at 845-747-0567 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306715131 directly on the NPPES registry website.

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