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

Tanaesza Cyan Russell

Individual provider Behavior Technician · NPI 1205474723

Tanaesza Cyan Russell is a Behavior Technician in Media, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Phone: (610) 572-5520
Fax: (610) 527-5521
Show map & directions

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

Additional practice locations (1)

  • 6146 West Chester Pike, West Chester, PA 19382 — (610) 572-5520

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BH006264 (PA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1205474723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

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