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John Pruett , BCBA

Behavior Analyst β€’ Springfield, VA

Active NPI 1184283525 Individual Practitioner Male Practitioner
Practice location in NPPES

7420 Fullerton Rd Ste 104
Springfield, VA 221532836

Call 7034637174 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

7420 Fullerton Rd Ste 104

Springfield, VA 221532836

Telephone 7034637174
Fax 7814371200
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Melbourne, FL; Randolph, 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

2019

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 Springfield and Virginia

65 active clinicians are listed under Behavior Analyst with a practice address in Springfield, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 65 clinicians have the CMS telehealth indicator.

0% of these 65 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: 2024-03-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 3108

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: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
019866200 (FL)

Secondary Practice Locations

150 W University Blvd

Melbourne, FL 329016982

Phone: 3216748000

41 Pacella Park Dr

Randolph, MA 023681755

Phone: 7814371363

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location March 25, 2024

Registered at 7420 FULLERTON RD STE 104, SPRINGFIELD, VA 221532836 (Tel: 7034637174)

πŸ“
Updated Business Mailing Address March 25, 2024

Registered at 7420 FULLERTON RD STE 104, SPRINGFIELD, VA 221532836 (Tel: 7034637174)

πŸ“
Updated Practice Location February 28, 2023

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814371363)

πŸ“
Updated Business Mailing Address February 28, 2023

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814371363)

πŸ‘€
Provider Name / Credentials Updated February 28, 2023

Recorded as JOHN PRUETT, BCBA

βœ…
NPI Profile Active June 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2019

Registered at 150 W UNIVERSITY BLVD, MELBOURNE, FL 329016982 (Tel: 3216748000)

πŸ“
Business Mailing Address (Initial Record) June 10, 2019

Registered at 150 W UNIVERSITY BLVD, MELBOURNE, FL 329016982 (Tel: 3216748000)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2019

Recorded as JOHN PRUETT, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 10, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184283525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2019
Last Update: March 25, 2024
Sole Proprietor: No

Mailing Address

7420 Fullerton Rd Ste 104

Springfield, VA 221532836

Phone: 7034637174

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.