MADISON RUSSELL
NPI 1104415132
Behavior Technician in Jacksonville, FL

Q: What is Madison Russell's NPI number?

The NPI number for Madison Russell is 1104415132. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Q: What is Madison Russell's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Russell was last updated on January 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2021

13553 ATLANTIC BLVD STE 100, JACKSONVILLE, FL 32225(904) 420-7030(904) 297-4064 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Madison Russell NPPES

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

MADISON RUSSELL (NPI 1104415132) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104415132

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameMADISON RUSSELL

Location Address13553 ATLANTIC BLVD STE 100Jacksonville, FL 32225-4227

Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028 · (866) 610-0580

Phone(904) 420-7030

Fax(904) 297-4064

Sole ProprietorNo

Enumeration DateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1104415132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

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.

13553 ATLANTIC BLVD STE 100, Jacksonville, FL 32225

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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.

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