MATTHEW DAVID RUSSELL (NPI# 1477045326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477045326 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID RUSSELL |
| Credential | ABA |
| Practice Address |
151 S 4th St Ste 401 Grand Forks ND 58201-4715 |
| Practice Telephone | 7017953000 |
| Practice Fax Number | 7017953050 |
| Mailing Telephone | 7017953000 |
| Mailing Fax Number | 7017953050 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | L29 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244648 | Matthew B Russell | Marriage & Family Therapist | 4125 Temescal St Ste G, Fair Oaks, CA 95628-7558 | 2020-10-27 |
| 1821468604 | Matthew Russell | Psychologist | 520 S Grand Ave Ste 671, Los Angeles, CA 90071-2655 | 2015-10-06 |
| 1821260084 | Matthew Scott Russell | Otolaryngology | 2233 Post St. 3rd Floor; Box 1225, University of California, San Francisco; Department Of, San Francisco, CA 94115 | 2008-03-28 |
| 1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
| 1740881143 | Matthew Russell | Counselor | 151 Industrial Dr, Birmingham, AL 35211-4445 | 2020-11-03 |
| 1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
| 1194352765 | Matthew David Russell | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2020-03-24 |
| 1851931059 | Matthew Thomas Russell | Pharmacist | 3410 Northpark Dr, Kingwood, TX 77345-6108 | 2020-01-15 |
| 1487203485 | Matthew E.b. Russell | Psychologist | 1504 Ben Taub Loop, Houton, TX 77030 | 2019-09-11 |
| 1366951394 | Matthew Cassady Russell | Physician Assistant | 3 E 101st St, New York, NY 10029-6528 | 2017-09-21 |
| Street Address |
151 S 4TH ST STE 401 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891808978 | Northeast Human Service Center | Residential Treatment Facility, Emotionally Disturbed Children | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2006-08-16 |
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1578100483 | Zachary Krieg | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-10 |
| 1134766561 | Angela Kaiser | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-04 |
| 1780234377 | Lisa Amundgaard | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-16 |
| 1649828583 | Moire C Dunn | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-03 |
| 1982266029 | George Patrick Guimont | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-06-28 |
| 1770148371 | Elizabeth I Meyer | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-05-08 |
| 1386108579 | Abby J. Samson | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-01-22 |
| 1013486166 | Kayla J. Norton | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922514397 | Brittney Denae Hansen | Behavioral Analyst | 5420 Mac Dr, Grand Forks, ND 58201-3004 | 2017-12-21 |
| 1306299011 | Toby Trontvet | Behavioral Analyst | 2520 Chestnut St, Grand Forks, ND 58201-7520 | 2016-07-18 |
| 1932653888 | Aba Conulstants, LLC | Behavioral Analyst | 2520 Chestnut St, Grand Forks, ND 58201-7520 | 2016-08-09 |
| 1245671536 | Rebecca R Kendall | Behavioral Analyst | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2013-07-15 |
| 1871937656 | Ron R. Peck | Behavioral Analyst | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2013-04-23 |
| 1699119479 | Theresa D.h. Schober | Behavioral Analyst | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415995 | Laura J Akin | Behavioral Analyst | 1819 5th St Se Apt 11, Minot, ND 58701-6629 | 2020-07-27 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1851814636 | Erinn Larkin | Behavioral Analyst | 1929 N Washington St Ste X, Bismarck, ND 58501-1616 | 2017-07-24 |
| 1619417235 | Bethany Johnson | Behavioral Analyst | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2017-03-01 |
| 1407399652 | Patrick Kellam | Behavioral Analyst | 701 3rd Ave Nw, Jamestown, ND 58401-3020 | 2016-11-21 |
| 1558818781 | Allison Smith | Behavioral Analyst | 2405 W Country Club Dr S, Fargo, ND 58103-5738 | 2016-09-06 |
| 1780924076 | Heart of Behavior, LLC | Behavioral Analyst | 1306 Westport Beach Way, West Fargo, ND 58078-8860 | 2013-02-22 |
| 1619293164 | Barbara J. Peterson | Behavioral Analyst | 1035 W Avenue B, Bismarck, ND 58501-2407 | 2010-04-08 |
| 1104081116 | North Dakota Autism Center, Inc | Behavioral Analyst | 647 13th Ave E, Ste A, West Fargo, ND 58078-3328 | 2008-07-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.