Rachael S Russell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-22167 Issued in NC

Practice address

41-611 Inoaole St
Waimanalo, HI 96795-1211

Phone

(808) 892-4059

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mau Loa Learning

  • Behavior Analyst
  • Waimanalo, HI
  • NPI 1265960181
  NPD (past)
• Mau Loa Learning

  • Behavior Technician
  • Waimanalo, HI
  • NPI 1962974998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1053804898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-415 KAHUHIPA ST APT D",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443520",
            "telephone_number": "270-350-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-611 INOAOLE ST",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951211",
            "telephone_number": "808-892-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RACHAEL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-16-22167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayna K. Perry
• Esmeralda Proskurenko, LPN
• Joseph Pummer, MBBS
• Rising Behavioral Health Consulting, LLC
• Christine E. Risner, C.N.A.
• Micaela Demapan Sablan, RBT
• Joell Melehoomaikai Santiago
• Janelle Saucedo, LSW, LCSW
• Charlotte Savage, PSY.D.
• Mari Shimazu

• Behavior Technician in Waimanalo, HI
• Providers in Waimanalo, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.