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Nicole Cerullo

Behavior Analyst β€’ Clearwater, FL

Active NPI 1386235539 Individual Practitioner Female Practitioner
Practice location in NPPES

29228 Us Highway 19 N
Clearwater, FL 337612101

Call 7273514191 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

29228 Us Highway 19 N

Clearwater, FL 337612101

Telephone 7273514191
Organization at the Same NPPES Address or Phone
Florida Autism Center Facility NPI 1972046142

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clearwater and Florida

51 active clinicians are listed under Behavior Analyst with a practice address in Clearwater, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clearwater

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 12046815

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 24, 2022

Registered at 29228 US HIGHWAY 19 N, CLEARWATER, FL 337612101 (Tel: 7273514191)

πŸ“
Updated Business Mailing Address October 24, 2022

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

πŸ‘€
Provider Name / Credentials Updated October 24, 2022

Recorded as NICOLE CERULLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Behavior Analyst

βœ…
NPI Profile Active January 31, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 31, 2021

Registered at 1081 OAK ST. STE 3, PITTSTON, PA 18640 (Tel: 5708023099)

πŸ“
Business Mailing Address (Initial Record) January 31, 2021

Registered at 9 BANKS AVE, MCADOO, PA 18237 (Tel: 5708023099)

πŸ‘€
Provider Name / Credentials (Initial Record) January 31, 2021

Recorded as NICOLE WIESNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2021

Behavior Analyst (license number reported to NPPES: None 12046815)

🟒
Initial NPI Registration & Enumeration January 31, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386235539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2021
Last Update: October 24, 2022
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8666100580

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.