Kailey Russell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

855 Rollingbrook Dr
Baytown, TX 77521-4073

Phone

(281) 839-2789

NPI assigned

Nov 25, 2020

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Behavioral Innovations

  • Community/Behavioral Health Agency
  • Baytown, TX
  • NPI 1699584557
  NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1386248862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROLLINGBROOK DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214073",
            "telephone_number": "281-839-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROLLINGBROOK DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214073",
            "telephone_number": "281-839-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-146242",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasiia Rudkovskaia, MD
• Brittany Ruivivar, MS, SLP
• Joanna Nicole Ruiz, LPC
• Rukshan Azhar Mdpa
• Joshua A Russell, MD
• Mia Russell
• Lina C Ryan, OTR/L
• Dealla Saab, D.D.S.
• Amir Nabil Saad, DDS, MSD
• Sabeen Najam, MD, PA (Houston Rheumatology Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.