Individual provider Active NPI

Vanessa Aurilia Stultz, BCBA, LBA

  • Behavior Analyst
  • Norwalk, CT
National Provider Identifier
1043679988
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17762 Issued in CT
Practice address
50 Washington St
Suite 502
Norwalk, CT 06854-2710
Phone
(203) 561-5252
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-17762 CT Primary

Addresses

Primary practice location

50 Washington St
Suite 502
Norwalk, CT 06854-2710

Mailing address

76 Henry St
Greenwich, CT 06830-5832
Phone (203) 561-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1043679988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HENRY ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305832",
            "telephone_number": "203-561-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASHINGTON ST",
            "address_2": "SUITE 502",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542710",
            "telephone_number": "203-561-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURILIA STULTZ",
        "first_name": "VANESSA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-14-17762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.