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ANGELA MARIE RUSSO BCBA
NPI 1053841858
Behavior Analyst in Pomona, CA

Active since June 14, 2017
801 CORPORATE CENTER DR STE 210, POMONA, CA 91768(909) 618-0974 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 20, 2017, Jun 14, 2017 (2 updates tracked since 2017).

About Angela Marie Russo Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA MARIE RUSSO BCBA (NPI 1053841858) is an individual behavior analyst provider in Pomona, California, licensed in California (1-16-24693) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1053841858
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameANGELA MARIE RUSSOCredential: BCBA
Location Address801 CORPORATE CENTER DR STE 210Pomona, CA 91768-2627
Mailing Address10442 Yolanda AvePorter Ranch, CA 91326-3440 · (818) 606-3754
Phone(909) 618-0974
Sole ProprietorYes
Enumeration DateJune 14, 2017
Last NPPES UpdateJune 20, 20172 updates tracked since enumeration
✔ NPI 1053841858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 1-16-24693
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
801 CORPORATE CENTER DR STE 210, Pomona, CA 91768
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE QUAN
Behavior Analyst
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 618-0974
LEXXIS MAGEE
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 634-3974
WENDY JACQUELINE VELAZQUEZ
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 618-0974
FATIMA JANELLE DORADO
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 634-3974
KAITLYN DOMINGUEZ
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 634-3974
NANCY MARIE MORALES
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 618-0974
MISS BRENDA BARRAGAN
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 618-0974
KASSI TANNER
Behavior Technician
801 CORPORATE CENTER DR STE 210
POMONA, CA 91768
Los Angeles County (909) 634-3974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Russo's NPI number?

The NPI number for Angela Russo is 1053841858. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Angela Russo located?

Angela Russo practices at 801 Corporate Center Dr Ste 210, Pomona, CA 91768. The listed phone number is (909) 618-0974.

What is Angela Russo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Angela Russo accept?

Health plans from Providence Health Plan list Angela Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Russo was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.