IndividualActive
Mason Russo
NPI 1760269815 · Behavior Technician · Jenison, MI
Mason Russo is a Behavior Technician provider in Jenison, MI (NPI 1760269815).
Provider details
- NPI number
- 1760269815
- 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(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
8413 Cottonwood Dr
Jenison, MI 49428-8327
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Frequently asked questions
- What is Mason Russo's NPI number?
- Mason Russo's National Provider Identifier (NPI) is 1760269815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mason Russo's specialty?
- Mason Russo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mason Russo located?
- Mason Russo's practice location on file with NPPES is 8413 Cottonwood Dr, Jenison, MI 49428-8327.
- What is Mason Russo's phone number?
- The practice phone number listed in the NPPES registry for Mason Russo is (574) 387-4313.
- Is Mason Russo's NPI active?
- Yes — Mason Russo's NPI (1760269815) is active in the NPPES registry as of the last update on 2023-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.