Nicole Iacullo, MA BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12222 Issued in NJ

Practice address

19 Bookdale Rd
East Brunswick, NJ 08816

Phone

(908) 208-3819

NPI assigned

Oct 30, 2013

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1063840080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BOOKDALE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "908-208-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BOOKDALE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "908-208-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACULLO",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-12-12222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Hurley, LMT
• Susan Martha Huslage, PHD LCSW
• Douglas A Hutt, MD
• Gayon Marie Hyatt, M.D.
• I-U Behavioral Services
• Patricia N Iannotta, MD
• Claire Ibrahim
• Gehan Ibrahim, MD
• George Ibrahim, PT
• Mahmud Ibrahim, M.D.

• Behavior Analyst in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.