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

Individual provider Behavior Analyst · NPI 1659005684

Russell Johann is a Behavior Analyst in Shoreham, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

6 Bradley Dr
Shoreham, NY 11786-2328
Phone: (631) 384-3154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1659005684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address6 Bradley Dr, Shoreham, NY 11786-2328

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