Active NPIIndividual providerSole proprietor

Amanda Russo

Behavior Technician in Pocasset, Massachusetts

NPI Number1598352254
Practice location
4 Barlows Landing RD Ste 13, Pocasset, MA 02559-1984
Fax
—
Last updated
December 29, 2020

Amanda Russo is a Behavior Technician based in Pocasset, MA. Amanda Russo practices in Pocasset, MA. The NPI Number for Amanda Russo is 1598352254. The current practice location address for Amanda Russo is 4 Barlows Landing RD Ste 13, Pocasset, MA 02559-1984 and can be reached out via phone at 508-563-5767.

Provider Profile Details

NPI Number
1598352254
Provider Name
Amanda Russo
Provider Entity Type
Individual
Gender
Female
Address
4 Barlows Landing RD Ste 13, Pocasset, MA 02559-1984
Phone Number
508-563-5767
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2020
Last Update Date
December 29, 2020
Certification Date
December 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Barlows Landing RD Ste 13
Pocasset, MA 02559-1984
Zip
02559-1984
Phone Number
508-563-5767
Pocasset, MA 02559Get directions →

Provider Business Mailing Address Details

Address
4 Barlows Landing RD Ste 13
Pocasset, MA 02559-1984
City
Pocasset
State
MA
Zip
02559-1984
Phone Number
508-563-5767

License Information

Taxonomy
Behavior Technician · 106S00000X · 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 Amanda Russo?

The NPI number of Amanda Russo is 1598352254. It was assigned on December 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Russo?

Amanda Russo is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Amanda Russo practice?

The practice location is 4 Barlows Landing RD Ste 13, Pocasset, MA 02559-1984. The office can be reached at 508-563-5767 (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 1598352254 directly on the NPPES registry website.

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