MR. BRANDON ROBERT DITULLIO MS. BCBA LABA. NPI 1831461151

NPI Information

  • NPI: 1831461151
  • Provider Name: MR. BRANDON ROBERT DITULLIO, MS., BCBA, LABA.
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Individual
  • Address: 345 GREENWOOD ST STE A
    WORCESTER, MA
    ZIP 01607
  • Phone: (508) 363-0200

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NPI Details

MR. Brandon Robert Ditullio, MS., BCBA, LABA. is a behavior analyst in Worcester, MA. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MR. Brandon Robert Ditullio, MS., BCBA, LABA. NPI is 1831461151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

345 GREENWOOD ST STE A
WORCESTER, MA
ZIP 01607-767
Phone: (508) 363-0200

The enumeration date for this NPI number is 2/1/2012 and was last updated on 1/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst2516MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11303287OTHERMASSACHUSETTSMBHP
20000023532OTHERMASSACHUSETTSBMC
3M18633OTHERMASSACHUSETTSBCBS
41303287MEDICAIDMASSACHUSETTS
5042611055OTHERMASSACHUSETTSTAX ID
61004745OTHERMASSACHUSETTSNHP
799618201OTHERMASSACHUSETTSNETWORK HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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