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Tajah Russell
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1609376078

Tajah Russell is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Tajah Russell practices in Pasadena, CA. The NPI Number for Tajah Russell is 1609376078 and holds a License No. 000004000 (California).

The current practice location address for Tajah Russell is 940 Avenue 64, Pasadena, CA and can be reached out via phone at 323-543-2800 and via fax at 323-978-1263. You can also correspond with Tajah Russell through the mailing address at 940 AVENUE 64, PASADENA, CA - 91105-2711 (mailing address contact number: 323-543-2800).

Location: 940 Avenue 64, Pasadena, CA, 91105-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609376078
Provider Name
Tajah Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
940 Avenue 64, Pasadena, CA, 91105-2711
Phone Number
323-543-2800
Fax Number
323-978-1263
Provider Enumeration Date
02/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Avenue 64
City
Pasadena
State
California
Zip
91105-2711
Phone Number
323-543-2800
Fax Number
323-978-1263
person
Provider Business Mailing Address Details
Address
940 Avenue 64
City
Pasadena
State
California
Zip
91105-2711
Phone Number
323-543-2800
Fax Number
323-978-1263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
000004000 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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