Active NPI
Adrienne Russell-George
- Behavior Analyst
- Rockwall, TX
National Provider Identifier
1700377637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1036 Starlight PL
Rockwall, TX 75087-2296 - Phone
- (803) 720-4534
- NPI assigned
- May 26, 2018
- Last updated
- May 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1036 Starlight PL
Rockwall, TX 75087-2296
Mailing address
2968 Sunridge Dr
Schertz, TX 78108-3049
Phone (803) 720-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| August June Behavioral Solutions | Current | Accepting new patients | |
| Prospera Healthcare Texas LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Schertz, TX
- NPI 1346078573
-
- Community/Behavioral Health Agency
- Flower Mound, TX
- NPI 1699359372
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1700377637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 SUNRIDGE DR",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781083049",
"telephone_number": "803-720-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 STARLIGHT PL",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750872296",
"telephone_number": "803-720-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL-GEORGE",
"first_name": "ADRIENNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-26",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.