IndividualActive
Kennedy Russell
NPI 1073469490 · Behavior Technician · Upper Marlboro, MD
Kennedy Russell is a Behavior Technician provider in Upper Marlboro, MD (NPI 1073469490).
Provider details
- NPI number
- 1073469490
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BACB1539733 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone: (301) 456-4787
Street-level locationGet directions
Mailing address
9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-08
Frequently asked questions
- What is Kennedy Russell's NPI number?
- Kennedy Russell's National Provider Identifier (NPI) is 1073469490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Russell's specialty?
- Kennedy Russell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kennedy Russell located?
- Kennedy Russell's practice location on file with NPPES is 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785.
- What is Kennedy Russell's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Russell is (301) 456-4787.
- Is Kennedy Russell's NPI active?
- Yes — Kennedy Russell's NPI (1073469490) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.