Anthony Russo

Behavior Analyst · Evanston, IL

Individual Active NPI

NPI number 1386076644

Practice location

820 Davis St
Evanston, IL 60201-4431
Phone
(312) 404-7225

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NPI record

NPI
1386076644
Entity type
Individual (Type 1)
Enumeration date
August 8, 2013
Last updated
August 8, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

3244 S Wells St
Chicago, IL 60616-3620

About Anthony Russo

Anthony Russo is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 820 Davis St, Evanston, IL 60201-4431. The NPI number 1386076644 was assigned on August 8, 2013 and the record was last updated on August 8, 2013.

Frequently asked questions

What is the NPI number of Anthony Russo?

The NPI number is 1386076644.

What is the phone number of Anthony Russo?

The phone number listed for the practice location is (312) 404-7225.

Where is Anthony Russo located?

820 Davis St, Evanston, IL 60201-4431.

What is the taxonomy code for Anthony Russo?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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