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

Individual provider Behavior Analyst · NPI 1740899665

Kevin Russo, BCBA, LABA is a Behavior Analyst in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

564 Main St Ste 209
Waltham, MA 02452-5568
Phone: (781) 736-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 155 (MA)

Record details

NPI number1740899665
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA , LABA
Sole proprietorYes
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing address738 Main St # 269, Waltham, MA 02451-0616

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