Search › Arizona › 103K00000X
Tara Russell, MS, BCBA, LBA
NPI 1649429465 · on the registry since 2008
Practice
- Address
- 6550 E Broadway Rd Ste 110
Mesa, AZ 85206 - Phone
- (480) 672-0772
- Fax
- (317) 520-8200
- Organisation at this address
- Hopebridge Llc
Mezona Orthopaedic Pa
Rem Medical Arizona, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 3100 W Ray Rd Ste 201, Chandler, AZ
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YA0400X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona