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Kevin Russo, BCBA, LABA
NPI 1740899665 · Behavior Analyst · Waltham, MA
Kevin Russo, BCBA, LABA is a Behavior Analyst provider in Waltham, MA (NPI 1740899665).
Provider details
- NPI number
- 1740899665
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA, LABA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 155 (MA)
Specialties & taxonomies
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
6 yrs in NPPES 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
564 Main St Ste 209
Waltham, MA 02452-5568
Phone: (781) 736-7900
Street-level locationGet directions
Mailing address
738 Main St # 269
Waltham, MA 02451-0616
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Frequently asked questions
- What is Kevin Russo's NPI number?
- Kevin Russo's National Provider Identifier (NPI) is 1740899665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Russo's specialty?
- Kevin Russo is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kevin Russo located?
- Kevin Russo's practice location on file with NPPES is 564 Main St Ste 209, Waltham, MA 02452-5568.
- What is Kevin Russo's phone number?
- The practice phone number listed in the NPPES registry for Kevin Russo is (781) 736-7900.
- Is Kevin Russo's NPI active?
- Yes — Kevin Russo's NPI (1740899665) is active in the NPPES registry as of the last update on 2020-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.