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

Jessica Russo

Individual provider Behavior Technician · NPI 1396593992

Jessica Russo is a Behavior Technician in Shawnee, Kansas. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17210 Midland Dr
Shawnee, KS 66217-8901
Phone: (913) 777-9718
Show map & directions

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

Additional practice locations (1)

  • 17210 Midland Dr, Shawnee, KS 66217-8901 — (913) 777-9718

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1396593992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address17210 Midland Dr, Shawnee, KS 66217-8901

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