Sadie Russell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42917 Issued in TX

Practice address

22001 Northpark Dr Ste 400
Kingwood, TX 77339-3809

Phone

(281) 222-3530

NPI assigned

Jul 21, 2018

Sex

Female

Sole proprietor

Yes

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

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.

• Action Behavior Centers Therapy LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1699475509
  NPD (past)
• Action Behavior Centers LLC

  • Behavior Analyst
  • Highlands Ranch, CO
  • NPI 1982293957
  NPD (past)

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1124505235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY",
            "address_2": "STE C-300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 NORTHPARK DR STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393809",
            "telephone_number": "281-222-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SADIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-20-42917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Roxanne Ruiz, RBT
• Guadalupe Ruiz
• Rita H Ruiz, LSA
• Alicia Mary Russell, LPC
• Matthew Thomas Russell, PHARMD
• Lawrence Justus Russo
• Angel Ryals
• S G Pollard PHD PLLC
• Sabah Medical Supplies, LLC
• Felix N Sabates Jr., MD

• Behavior Analyst in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.