What is Jeffrey Russo's NPI number?

Jeffrey Russo's National Provider Identifier (NPI) is 1184169716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffrey Russo's specialty?

Jeffrey Russo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jeffrey Russo located?

Jeffrey Russo's practice location on file with NPPES is 3602 Inland Empire Blvd Ste B208, Ontario, CA 91764-4912.

What is Jeffrey Russo's phone number?

The practice phone number listed in the NPPES registry for Jeffrey Russo is (909) 476-6464.

Is Jeffrey Russo's NPI active?

Yes — Jeffrey Russo's NPI (1184169716) is active in the NPPES registry as of the last update on 2017-01-06.

IndividualActive

Jeffrey Russo

NPI 1184169716 · Behavior Technician · Ontario, CA

Jeffrey Russo is a Behavior Technician provider in Ontario, CA (NPI 1184169716).

Provider details

NPI number: 1184169716
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
83% 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

3602 Inland Empire Blvd Ste B208

Ontario, CA 91764-4912

Phone: (909) 476-6464

Street-level locationGet directions

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Mailing address