Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Russo

Individual provider Behavior Technician · NPI 1639616212

Elizabeth Russo is a Behavior Technician in San Bernardino, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

621 Carnegie Dr Ste 210
San Bernardino, CA 92408-3548
Phone: (909) 386-9762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT143853 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-15-07640 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence AMFT120953 (CA)

Record details

NPI number1639616212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2017
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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