IndividualActive
Dezirae Russo
NPI 1235697046 · Behavior Technician · Kentwood, MI
Dezirae Russo is a Behavior Technician provider in Kentwood, MI (NPI 1235697046).
Provider details
- NPI number
- 1235697046
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3361 36th St Se
Kentwood, MI 49512-2809
Phone: (616) 942-2522
Street-level locationGet directions
Mailing address
4664 Lamplight Ln Se Apt 4
Grand Rapids, MI 49546-6388
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2019-03-11
Frequently asked questions
- What is Dezirae Russo's NPI number?
- Dezirae Russo's National Provider Identifier (NPI) is 1235697046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dezirae Russo's specialty?
- Dezirae Russo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dezirae Russo located?
- Dezirae Russo's practice location on file with NPPES is 3361 36th St Se, Kentwood, MI 49512-2809.
- What is Dezirae Russo's phone number?
- The practice phone number listed in the NPPES registry for Dezirae Russo is (616) 942-2522.
- Is Dezirae Russo's NPI active?
- Yes — Dezirae Russo's NPI (1235697046) is active in the NPPES registry as of the last update on 2019-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.