Russo, Jennifer
Russo, Jennifer is an individual health care provider with primary practice located at 243 N Regent St , Port Chester NY 10573-2642. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russo, Jennifer can be contacted via phone (617) 233-9907.Contact Information
Primary practice address
243 N Regent St
Port Chester NY 10573-2642
Phone: (617) 233-9907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1200 | Connecticut |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 002110 | New York |
Profile Details
| NPI number | 1972172336 |
|---|---|
| LBN Legal business name | Russo, Jennifer |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jun 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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