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:
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Health care specialties

SpecialtyCodeLicense #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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