Stephany Lo Russo, MS.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29784 Issued in NY

Practice address

Manhattan Behavioral Center
124 W 95TH Street
New York, NY 10025

Phone

(646) 480-5756

NPI assigned

Jun 29, 2018

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

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.

• Manhattan Applied Behavior Analysis Interventions , PLLC

  • Behavior Analyst
  • New York, NY
  • NPI 1518519743
  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1962997155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 BELLMORE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117103713",
            "telephone_number": "516-348-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANHATTAN BEHAVIORAL CENTER",
            "address_2": "124 W 95TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "646-480-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO RUSSO",
        "first_name": "STEPHANY",
        "credential": "MS.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-18-29784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMSW Counseling Associates of New York PC
• Niriksha Ravi Lnu
• Christian M Lo Cascio, MD DR. MED.
• Julia Nancy Lo Cascio, MD
• Roberto Lo Gullo, MD
• Kristen Irene Lo Sicco, M.D.
• Alexandria Lo
• Andy Lo, MS, PT
• Arthur Oliver Senga Lo, M.D.
• Benjamin Wai Yue Lo

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.