Benjamin Evan Ficociello

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30811

Practice address

2262 Harvard St
Palo Alto, CA 94306-1351

Phone

(919) 758-5339

NPI assigned

Sep 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 2020 Behavior LLC

  • Behavior Analyst
  • Palo Alto, CA
  • NPI 1093317364
  NPD (past)
• Thrive Therapy & Social Center

  • Speech-Language Pathologist
  • San Jose, CA
  • NPI 1770905929
  NPD (past)
• The Edinburg Center Inc

  • Psychiatry Physician
  • Bedford, MA
  • NPI 1073617353
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1104227818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE B110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 HARVARD ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061351",
            "telephone_number": "919-758-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Waltham St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024218033",
            "country_code": "US",
            "telephone_number": "781-862-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Winchester Blvd Ste B110",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95128",
            "country_code": "US",
            "telephone_number": "408-484-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICOCIELLO",
        "first_name": "BENJAMIN",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-30811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1004745",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "042611055",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "99618201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1303287",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "0000023532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18633",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amali Maria Fernando, MD
• Jeffrey Ernest Ferrell, MD
• Vilma Ferrer, NP
• Todd A Ferris, MD, MS
• Robert Brandt Fick, Jr, M.D.
• Taryn Ashley Fields, PA-C
• Marie Louise Fiero, M.D.
• April Michelle Figueroa, FNP-C
• Nicholas Filice, PHD
• Mechele Fillman, NP

• Behavior Analyst in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.