Erin Marie Carroll Russell, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1062774 Issued in VT

Practice address

288 Gallison Hill Rd
Montpelier, VT 05602-8352

Phone

(802) 793-8307

NPI assigned

Feb 2, 2016

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

Credentials

Master of Arts

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.

• Green Mountain Consulting LLC

  • Behavior Analyst
  • Montpelier, VT
  • NPI 1699133967
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1710345079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "ROXBURY",
            "state": "VT",
            "postal_code": "056690075",
            "telephone_number": "802-595-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 GALLISON HILL RD",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028352",
            "telephone_number": "802-793-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIN MARIE",
        "middle_name": "CARROLL",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VT",
            "license": "1062774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rae Rose, R.P.T.
• Sean Francis Rosetta, BA
• Charles August Rossi
• Jeff Rothenberg, LCMHC
• Jacob Robert Rusczek, PH.D.
• Lydia Slocum Russell, LCMHC
• Ryan Stanton PLC
• Sage Naturopathic Health LLC
• Paul J Sahba, LCMHC
• Marianne Salata-Hartman, LCMHC

• Behavior Analyst in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Behavior Analyst in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.