Margaret Patricia Russell, BS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61868 Issued in MN

Practice address

5215 Edina Industrial Blvd Ste 200
Edina, MN 55439-2926

Phone

(612) 594-8405

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Behavior Frontiers, LLC

  • Behavior Analyst
  • Gardena, CA
  • NPI 1245539394
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1942979646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 EDINA INDUSTRIAL BLVD STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392926",
            "telephone_number": "612-594-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 EDINA INDUSTRIAL BLVD STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392926",
            "telephone_number": "612-594-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARGARET",
        "middle_name": "PATRICIA",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-22-61868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HollandCenter",
            "affiliation": "N",
            "address_1": "10273 Yellow Circle Dr",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553439144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Rundquist
• Suzanne Kaye Runkel, PA C
• Stephanie Dawn Runyan, DO
• Russell N. Frys Jr,, DDS PA
• Laura Christine Russell, RD, CDE
• David G Rustad, MD
• Jill Harriet Rusterholz, M.D.
• Lisa Marie Rutford, MA, LPCC
• RX Angels LLC
• Barb Ryan, L.M.T.

• Behavior Analyst in Edina, MN
• Providers in Edina, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.