TANAESZA RUSSELL (NPI# 1205474723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205474723 |
Entity Type | Individual |
Full Name | TANAESZA RUSSELL |
Practice Address |
600 N Jackson St Ste 203 Media PA 19063-2574 |
Mailing Address |
1822 Spring Garden St Side 2 Philadelphia PA 19130-4138 |
Practice Telephone | 4844442285 |
Mailing Telephone | 4844442285 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
600 N JACKSON ST STE 203 |
City | MEDIA |
State | PA |
Zip Code | 19063-2574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275861593 | Heather Amanda Majtyka | Occupational Therapist | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2009-11-24 |
1851930259 | Jessica Murphy | Behavioral Analyst | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2020-01-02 |
1770121204 | Jennifer Wood | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-12-16 |
1518505023 | Shaymaa Ismaaeel | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-12-16 |
1912545435 | Amanda Conley | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-12-16 |
1386282895 | Amanda Daum | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-12-16 |
1235781949 | Alexandra Knaub | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-07-12 |
1740832476 | Stephanie Scheinoff | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-07-12 |
1811549520 | Kacey Lynch | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-07-12 |
1992357636 | Ariel Scott | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 106S00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavior Technician |
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355424 | Chevelle Thomas | Behavior Technician | 1167 W Baltimore Pike # 258, Media, PA 19063-5127 | 2020-10-28 |
1902406341 | Alexandra Trego | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-10-26 |
1568061562 | Maria Tiroly | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-10-21 |
1538767371 | Mary Elizabeth Mcmenamin | Behavior Technician | 1167 W Baltimore Pike # 258, Media, PA 19063-5127 | 2020-10-14 |
1598362667 | Kelsey Alaina Johnson | Behavior Technician | 1167 W Baltimore Pike # 258, Media, PA 19063-5127 | 2020-10-02 |
1659981108 | Oumy Thioune | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-08-08 |
1447868856 | Anushka Mohapatra | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-07-21 |
1083222467 | Bryanna Holland | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-07-21 |
1629692702 | Stephanie Smith | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-06-03 |
1649894726 | Victoria Dalinsky | Behavior Technician | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-06-03 |
Find all providers in MEDIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.