MISS TARA NICOLE RUSSELL MS, BCBA, LBA
NPI 1649429465
Behavior Analyst in Mesa, AZ

Q: What is Tara Russell's NPI number?

The NPI number for Tara Russell is 1649429465. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Q: What is Tara Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Russell was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 17, 2008

6550 E BROADWAY RD STE 110, MESA, AZ 85206(480) 672-0772(317) 520-8200 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2023, Dec 10, 2021, May 20, 2021 (3 updates tracked since 2021).

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About Miss Tara Nicole Russell Ms, Bcba, Lba NPPES

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

MISS TARA NICOLE RUSSELL MS, BCBA, LBA (NPI 1649429465) is an individual behavior analyst provider in Mesa, Arizona, licensed in Arizona (BEH-000896) and active in the NPI registry since September 2008. She maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1649429465

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMISS TARA NICOLE RUSSELLCredential: MS, BCBA, LBA

Location Address6550 E BROADWAY RD STE 110Mesa, AZ 85206-1734

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727 · Fax (772) 675-9100

Phone(480) 672-0772

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateSeptember 17, 2008

Last NPPES UpdateMay 1, 20233 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1649429465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in AZ · BEH-000896

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

6550 E BROADWAY RD STE 110, Mesa, AZ 85206

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Secondary Practice Location 1

Location 13100 W Ray Rd Ste 201Chandler, AZ 85226-2472 · Phone (855) 832-6727 · Fax (772) 675-9100

Other Identifiers 1

Other1-21-48060Bcba Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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.

VAVRIX OWENS RBT

Behavior Technician