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FARIS ELAINE WINCHESTER RUSSOM BCBA
NPI 1821740598
Behavior Analyst in Altoona, IA

Active since January 24, 2022
1625 ADVENTURELAND DR, ALTOONA, IA 50009(515) 967-4369 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Faris Elaine Winchester Russom Bcba NPPES

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

FARIS ELAINE WINCHESTER RUSSOM BCBA (NPI 1821740598) is an individual behavior analyst provider in Altoona, Iowa and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1821740598
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameFARIS ELAINE WINCHESTER RUSSOMCredential: BCBA
Location Address1625 ADVENTURELAND DRAltoona, IA 50009-2237
Mailing Address1625 Adventureland DrAltoona, IA 50009-2237 · (515) 967-4369
Phone(515) 967-4369
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1821740598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
1625 ADVENTURELAND DR, Altoona, IA 50009
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDIE GEARY
Behavior Analyst
1625 ADVENTURELAND DR, SUITE B
ALTOONA, IA 50009
Polk County (515) 967-4369
EMMA GUEBARA
Behavior Technician
1625 ADVENTURELAND DR
ALTOONA, IA 50009
Polk County (515) 333-7147
ADRIANA PETTEPIER
Behavior Analyst
1625 ADVENTURELAND DR
ALTOONA, IA 50009
Polk County (515) 967-4369
ANDREA GOEDERT M.S., BCBA
Behavior Analyst
1625 ADVENTURELAND DR
ALTOONA, IA 50009
Polk County (563) 581-1637
SAMANTHA CERMAK BCBA
Behavior Analyst
1625 ADVENTURELAND DR, SUITE B
ALTOONA, IA 50009
Polk County (515) 318-3168
KARLI BLANKENFELD
Behavior Technician
1625 ADVENTURELAND DR
ALTOONA, IA 50009
Polk County (515) 967-4369
CHEYENNE FERNER
Behavior Analyst
1625 ADVENTURELAND DR
ALTOONA, IA 50009
Polk County (515) 967-4369
EVELYN JO HORTON BCBA
Behavior Analyst
1625 ADVENTURELAND DR, SUITE B
ALTOONA, IA 50009
Polk County (515) 957-3371

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 Faris Russom's NPI number?

The NPI number for Faris Russom is 1821740598. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Faris Russom located?

Faris Russom practices at 1625 Adventureland Dr, Altoona, IA 50009. The listed phone number is (515) 967-4369.

What is Faris Russom'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 Faris Russom was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.