KEVIN RUSSO BCBA, LABA
NPI 1740899665
Behavior Analyst in Waltham, MA

Q: What is Kevin Russo's NPI number?

The NPI number for Kevin Russo is 1740899665. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Kevin Russo'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 Kevin Russo was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 27, 2020

564 MAIN ST STE 209, WALTHAM, MA 02452(781) 736-7900 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Russo Bcba, Laba NPPES

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

KEVIN RUSSO BCBA, LABA (NPI 1740899665) is an individual behavior analyst provider in Waltham, Massachusetts, licensed in Massachusetts (155) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1740899665

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameKEVIN RUSSOCredential: BCBA, LABA

Location Address564 MAIN ST STE 209Waltham, MA 02452-5568

Mailing Address738 Main St # 269Waltham, MA 02451-0616 · (617) 797-5511

Phone(781) 736-7900

Sole ProprietorYes

Enumeration DateJuly 27, 2020

NPPES CertifiedJuly 27, 2020

✔ NPI 1740899665 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 MA · 155

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.

564 MAIN ST STE 209, Waltham, MA 02452

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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 Kevin Russo's NPI number?

The NPI number for Kevin Russo is 1740899665. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Kevin Russo located?

Kevin Russo practices at 564 Main St Ste 209, Waltham, MA 02452. The listed phone number is (781) 736-7900.

What is Kevin Russo's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Russo was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.