Active NPI 1740899665 Individual Practitioner Male Practitioner

Kevin Russo , BCBA, LABA

Behavior Analyst • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Kevin Russo, BCBA, LABA is a registered healthcare professional specializing in Behavior Analyst in Waltham, MA. Practice services are available at 564 MAIN ST STE 209 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

564 Main St Ste 209

Waltham, MA 024525568

Telephone 7817367900

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Waltham, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 7.3 Yrs

Regional Practice Density

53 Specialists

Practicing in Waltham, MA (4758 Statewide)

Telehealth Adoption Rate

1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-27

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA 155

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 27, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2020

Registered at 564 MAIN ST STE 209, WALTHAM, MA 024525568 (Tel: 7817367900)

📍

Updated Business Mailing Address July 27, 2020

Registered at 738 MAIN ST # 269, WALTHAM, MA 024510616 (Tel: 6177975511)

👤

Provider Name / Credentials Updated July 27, 2020

Recorded as KEVIN RUSSO, BCBA, LABA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Behavior Analyst (License #155 in MA)

🟢

Initial NPI Registration & Enumeration July 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740899665

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2020

Last Update: July 27, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

738 Main St # 269

Waltham, MA 024510616

Phone: 6177975511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.