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Brandon Robert Ditullio , MS, BCBA, LABA

Behavior Analyst β€’ Worcester, MA

Active NPI 1831461151 Individual Practitioner Male Practitioner
Practice location in NPPES

345 Greenwood St Ste A
Worcester, MA 016071767

Call 5083630200 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

345 Greenwood St Ste A

Worcester, MA 016071767

Telephone 5083630200
Organization at the Same NPPES Address or Phone
Medi-Rents, Inc Facility NPI 1326071085

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bedford, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

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 Worcester and Massachusetts

312 active clinicians are listed under Behavior Analyst with a practice address in Worcester, MA (4,730 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

0% of these 312 clinicians have the CMS telehealth indicator.

0% of these 312 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 2516

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: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1303287 (MA)
Other Identifier Nhp
1004745 (MA)
Other Identifier Bcbs
M18633 (MA)
Other Identifier Mbhp
1303287 (MA)
Other Identifier Tax Id
042611055 (MA)
Other Identifier Network Health
99618201 (MA)
Other Identifier Bmc
0000023532 (MA)

Secondary Practice Locations

205 Burlington Rd

Bedford, MA 017301406

Phone: 7818623600

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 January 07, 2019

Registered at 345 GREENWOOD ST STE A, WORCESTER, MA 016071767 (Tel: 5083630200)

πŸ“
Updated Business Mailing Address January 07, 2019

Registered at 205 BURLINGTON RD, BEDFORD, MA 017301406 (Tel: 7818623600)

πŸ‘€
Provider Name / Credentials Updated January 07, 2019

Recorded as BRANDON DITULLIO, MS., BCBA, LABA.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2019

Behavior Analyst (license number reported to NPPES: MA 2516)

βœ…
NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817618033)

πŸ“
Business Mailing Address (Initial Record) February 01, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817615077)

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2012

Recorded as BRANDON DITULLIO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Counselor

🟒
Initial NPI Registration & Enumeration February 01, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831461151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2012
Last Update: January 07, 2019
Sole Proprietor: No

Mailing Address

205 Burlington Rd

Bedford, MA 017301406

Phone: 7818623600

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.