Jaime Russell

Individual provider Active NPI Behavior Technician · West Chesterfield, NH

NPI 1447085907 · NPPES record last updated Sep 4, 2024

Key facts

NPI
1447085907
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
86 Cross Rd
West Chesterfield, NH 03466-3209
Phone
(603) 256-6046
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Educational and Behavioral Consulting, LLC Behavior Technician Current
since Sep 8, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

86 Cross Rd
West Chesterfield, NH 03466-3209

Mailing address

86 Cross Rd
West Chesterfield, NH 03466-3209
Phone (603) 256-6046

Other providers in West Chesterfield, NH

All providers in West Chesterfield, NH · Behavior Technician in New Hampshire

Sources for this page

Verify at the official NPI Registry.