Jeneille Russell, BCBA
Behavior Analyst in King Of Prussia, Pennsylvania
1386288942- Practice location
- 583 Shoemaker RD Ste 230, King Of Prussia, PA 19406-4238
- Phone
- 484-681-2170
- Fax
- 484-320-8307
- Last updated
- March 24, 2025
Jeneille Russell is a Behavior Analyst based in King Of Prussia, PA. Jeneille Russell practices in King Of Prussia, PA and has the professional credentials of BCBA. The NPI Number for Jeneille Russell is 1386288942 and holds a License No. 1-24-78214 (NJ). The current practice location address for Jeneille Russell is 583 Shoemaker RD Ste 230, King Of Prussia, PA 19406-4238 and can be reached out via phone at 484-681-2170 and via fax at 484-320-8307.
Provider Profile Details
- NPI Number
- 1386288942
- Provider Name
- Jeneille Russell
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 583 Shoemaker RD Ste 230, King Of Prussia, PA 19406-4238
- Phone Number
- 484-681-2170
- Fax Number
- 484-320-8307
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2019
- Last Update Date
- March 24, 2025
- Certification Date
- March 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 583 Shoemaker RD Ste 230
King Of Prussia, PA 19406-4238 - City
- King Of Prussia
- State
- Pennsylvania
- Zip
- 19406-4238
- Phone Number
- 484-681-2170
- Fax Number
- 484-320-8307
Provider Business Mailing Address Details
- Address
- 583 Shoemaker RD Ste 230
King Of Prussia, PA 19406-4238 - City
- King Of Prussia
- State
- PA
- Zip
- 19406-4238
- Phone Number
- 484-681-2170
- Fax Number
- 484-320-8307
License Information
- Taxonomy (1)
- Behavior Technician · 106S00000X
- License Number (2)
- 1-24-78214
- License State (2)
- NJ
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jeneille Russell, BCBA?
The NPI number of Jeneille Russell, BCBA is 1386288942. It was assigned on November 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeneille Russell, BCBA?
Jeneille Russell, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-24-78214.
Where does Jeneille Russell, BCBA practice?
The practice location is 583 Shoemaker RD Ste 230, King Of Prussia, PA 19406-4238. The office can be reached at 484-681-2170 (phone) or 484-320-8307 (fax).
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 1386288942 directly on the NPPES registry website.