MASON DANIEL RUSSO
NPI 1760269815
Behavior Technician in Jenison, MI
About Mason Daniel Russo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASON DANIEL RUSSO (NPI 1760269815) is an individual behavior technician in Jenison, Michigan and active in the NPI registry since September 2023.
NPPES Registry Identity
Specialties & Licenses
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.
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 Mason Russo's NPI number?
The NPI number for Mason Russo is 1760269815. It was assigned to this individual provider in the NPPES registry on September 12, 2023.
Where is Mason Russo located?
Mason Russo practices at 8413 Cottonwood Dr, Jenison, MI 49428. The listed phone number is (574) 387-4313.
What is Mason 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 Mason Russo was last updated on September 12, 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.