Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831461151 Individual Practitioner Male Practitioner

Brandon Robert Ditullio , MS, BCBA, LABA

Behavior Analyst • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Brandon Ditullio, MS, BCBA, LABA is a registered healthcare professional specializing in Behavior Analyst in Worcester, MA. Practice services are available at 345 GREENWOOD ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 Greenwood St Ste A

Worcester, MA 016071767

Telephone 5083630200
Associated Practice Facility / Clinic
🏢 Medi-Rents, Inc Facility NPI 1326071085

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Worcester, MA

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

Practicing in Worcester, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1303287 (MA)
Commercial Insurance / Payer ID Nhp
1004745 (MA)
Commercial Insurance / Payer ID Bcbs
M18633 (MA)
Commercial Insurance / Payer ID Mbhp
1303287 (MA)
Commercial Insurance / Payer ID Tax Id
042611055 (MA)
Commercial Insurance / Payer ID Network Health
99618201 (MA)
Commercial Insurance / Payer ID Bmc
0000023532 (MA)

Secondary Practice Locations

205 Burlington Rd

Bedford, MA 017301406

Phone: 7818623600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Efrain Vazquez

Behavior Technician

NPI 1003204363
Amal Abdelgadir

Developmental Therapist

NPI 1003277591
Cody Jennison

Developmental Therapist

NPI 1003287327
Karen Davidson

Developmental Therapist

NPI 1003291626
Lindsey Breau

Developmental Therapist

NPI 1003337791
Tiara White

Developmental Therapist

NPI 1003389917

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 07, 2019

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

📍
Updated Business Mailing Address January 07, 2019

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

👤
Provider Name / Credentials Updated January 07, 2019

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

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

Behavior Analyst (License #2516 in MA)

NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2012

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

📍
Updated Business Mailing Address February 01, 2012

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

👤
Provider Name / Credentials Updated February 01, 2012

Recorded as BRANDON DITULLIO

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.