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Demitrias Russell
NPI 1619641115 · Behavior Technician · Los Angeles, CA
Demitrias Russell is a Behavior Technician provider in Los Angeles, CA (NPI 1619641115).
Provider details
- NPI number
- 1619641115
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Phone: (323) 291-7100
Street-level locationGet directions
Mailing address
4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Demitrias Russell's NPI number?
- Demitrias Russell's National Provider Identifier (NPI) is 1619641115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demitrias Russell's specialty?
- Demitrias Russell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Demitrias Russell located?
- Demitrias Russell's practice location on file with NPPES is 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200.
- What is Demitrias Russell's phone number?
- The practice phone number listed in the NPPES registry for Demitrias Russell is (323) 291-7100.
- Is Demitrias Russell's NPI active?
- Yes — Demitrias Russell's NPI (1619641115) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.