Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811440084 Individual Practitioner Female Practitioner

Jennifer Blacioti

Behavior Analyst • Randolph, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Blacioti is a registered healthcare professional specializing in Behavior Analyst in Randolph, MA. Practice services are available at 14 PACELLA PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Pacella Park Dr

Randolph, MA 023681756

Telephone 7814400400
Associated Practice Facility / Clinic
🏢 May Institute Facility NPI 1063839702

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Randolph, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Randolph, MA (4758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA 3833

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110026265E (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kafunda Banks

Counselor - Mental Health

NPI 1003115494
Rene Schwiesow

Counselor - Mental Health

NPI 1003181272
Alexander Gasdia

Counselor - Mental Health

NPI 1003295890
Courtney Destremps

Counselor - Mental Health

NPI 1003354754
Victoria Symkus

Counselor - Mental Health

NPI 1013378819
Gabrielle Bartholomew

Counselor - Mental Health

NPI 1013416924

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated January 06, 2022

Recorded as JENNIFER BLACIOTI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Behavior Analyst (License #3833 in MA)

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2016

Registered at 14 PACELLA PARK DR, RANDOLPH, MA 023681756 (Tel: 7814400400)

📍
Updated Business Mailing Address July 25, 2016

Registered at 14 PACELLA PARK DR, RANDOLPH, MA 023681756 (Tel: 7814400400)

👤
Provider Name / Credentials Updated July 25, 2016

Recorded as JENNIFER DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Counselor

🟢
Initial NPI Registration & Enumeration July 25, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811440084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2016
Last Update: January 06, 2022
Sole Proprietor: No

Mailing Address

14 Pacella Park Dr

Randolph, MA 023681756

Phone: 7814400400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.