DEZIRAE LOUISE RUSSO
NPI 1235697046
Behavior Technician in Kentwood, MI

Active since March 11, 2019
3361 36TH ST SE, KENTWOOD, MI 49512(616) 942-2522 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dezirae Louise Russo NPPES

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

DEZIRAE LOUISE RUSSO (NPI 1235697046) is an individual behavior technician in Kentwood, Michigan and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1235697046
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameDEZIRAE LOUISE RUSSO
Location Address3361 36TH ST SEKentwood, MI 49512-2809
Mailing Address4664 Lamplight Ln Se Apt 4Grand Rapids, MI 49546-6388
Sole ProprietorNo
Enumeration DateMarch 11, 2019
NPI 1235697046 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.

3361 36TH ST SE, Kentwood, MI 49512

Other Identifiers 1

Other106S00000XMI · Hope Network

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.

Speech-Language Pathologist
3361 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Analyst
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Speech-Language Pathologist
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
GRAND RAPIDS, MI 49512

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 Dezirae Russo's NPI number?

The NPI number for Dezirae Russo is 1235697046. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Dezirae Russo located?

Dezirae Russo practices at 3361 36th St SE, Kentwood, MI 49512. The listed phone number is (616) 942-2522.

What is Dezirae Russo's specialty?

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

When was this NPI record last updated?

The NPPES record for Dezirae Russo was last updated on March 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.