Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Tara Nicole Russell, MS, BCBA, LBA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649429465

Miss. Tara Nicole Russell, MS, BCBA, LBA is an Addiction (Substance Use Disorder) Counselor in Mesa, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6550 E Broadway Rd Ste 110
Mesa, AZ 85206-1734
Phone: (480) 672-0772
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 — (855) 832-6727

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BEH-000896 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1649429465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , LBA
Sole proprietorNo
NPI enumeratedSeptember 17, 2008
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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