Tara Nicole Russell , MS, BCBA, LBA
Behavior Analyst β’ Mesa, AZ
6550 E Broadway Rd Ste 110
Mesa, AZ 852061734
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
6550 E Broadway Rd Ste 110
Mesa, AZ 852061734
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Chandler, AZ. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Behavior Analyst: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Mesa and Arizona
158 active clinicians are listed under Behavior Analyst with a practice address in Mesa, AZ (1,775 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mesa
0% of these 158 clinicians have the CMS telehealth indicator.
0% of these 158 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-05-01NUCC Taxonomy Code: 103K00000X
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.
NUCC Taxonomy Code: 101YA0400X
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
3100 W Ray Rd Ste 201
Chandler, AZ 852262472
Phone: 8558326727
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6550 E BROADWAY RD STE 110, MESA, AZ 852061734 (Tel: 4806720772)
Recorded as TARA RUSSELL, MS, BCBA, LBA
Registered at 3100 W RAY RD STE 201, CHANDLER, AZ 852262472 (Tel: 8558326727)
Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)
Registered at 1166 S GILBERT RD STE 106, GILBERT, AZ 852963461 (Tel: 3039898169)
Registered at 390 UNION BLVD STE 300, LAKEWOOD, CO 802286514 (Tel: 3039898169)
NPI status registered as active in NPPES database
Registered at 103 MODESTO AVE, MODESTO, CA 953540414 (Tel: 2095278569)
Registered at 103 MODESTO AVE, MODESTO, CA 953540414 (Tel: 2095278569)
Recorded as TARA RUSSELL
Counselor
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
7108 S Kanner Hwy
Stuart, FL 349977462
Phone: 8558326727