Miss Tara Nicole Russell, MS, BCBA, LBA - Counselor in Mesa, AZ

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Miss Tara Nicole Russell, MS, BCBA, LBA is a Behavior Analyst based in Mesa, Arizona. Miss Tara Nicole Russell is licensed to practice in Arizona (license number BEH-000896) and her current practice location is 6550 E Broadway Rd Ste 110, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 672-0772.

NPI number for Miss Tara Nicole Russell is 1649429465 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649429465.

Contact Information

Miss Tara Nicole Russell, MS, BCBA, LBA
6550 E Broadway Rd Ste 110,
Mesa, AZ 85206-1734
(480) 672-0772
(317) 520-8200

Map and Direction


Healthcare Provider's Profile

Full NameMiss Tara Nicole Russell
GenderFemale
SpecialityBehavior Analyst
Location6550 E Broadway Rd Ste 110, Mesa, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649429465
  • Provider Enumeration Date: 09/17/2008
  • Last Update Date: 05/01/2023

Medical Identifiers

Medical identifiers for Miss Tara Nicole Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649429465NPI-NPPES
1-21-48060OtherBCBA CERTIFICATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
103K00000XBehavior Analyst BEH-000896 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tara Nicole Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Tara Nicole Russell, MS, BCBA, LBA
7108 S Kanner Hwy,
Stuart, FL 34997-7462

Ph: (855) 832-6727		Miss Tara Nicole Russell, MS, BCBA, LBA
6550 E Broadway Rd Ste 110,
Mesa, AZ 85206-1734

Ph: (480) 672-0772

Reviews and Comments


Behavior Analyst in Mesa, AZ


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.