Jennifer Russo, BCBA
NPI 1972172336ActiveIndividual· Behavior Analyst· Port Chester, NY
Behavior Analyst (BCBA) in Port Chester, New York, licensed in NY and CT, with an NPI issued in June 2021.
Overview
| NPI | 1972172336 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA |
| Sole proprietor | No |
| NPI issued | Jun 21, 2021 |
| Last updated in NPPES | Jun 21, 2021 |
| Certified by provider | Jun 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 002110 | NY |
| Behavior Analyst | 103K00000X | 1200 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other behavior analysts in Port Chester
- 1376154690
- 1124380159
- 1558842765
- 1831797299
- 1568319713
- 1396579744