MISS TARA RUSSELL, MS, BCBA, LBA

Behavior Analyst

Active Individual
NPI: 1649429465

Practice Address

6550 E BROADWAY RD STE 110
Mesa, AZ 85206

Phone: (480) 672-0772

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Behavior Analyst 103K00000X Yes BEH-000896 (AZ)

Frequently Asked Questions

NPI 1649429465 is the National Provider Identifier for MISS TARA RUSSELL, MS, BCBA, LBA, a Behavior Analyst provider located in Mesa, AZ. This NPI was enumerated on September 17, 2008.
MISS TARA RUSSELL, MS, BCBA, LBA practices at 6550 E BROADWAY RD STE 110, Mesa, AZ 85206.

Quick Facts

NPI
1649429465
Type
Individual
Enumerated
Sep 17, 2008
Last Updated
May 1, 2023

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