Rebecca Lauran Diliddo, BCBA

Individual provider Active NPI Behavior Analyst · Berlin, MA

NPI 1154963650 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1154963650
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-19-37353 (MA)
Practice address
1 Whitney Rd
Berlin, MA 01503-1653
Phone
(855) 222-7980
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Behavior Center Past
since Oct 20, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-37353 MA Yes

Addresses

Primary practice location

1 Whitney Rd
Berlin, MA 01503-1653

Mailing address

24 Kris Alan Dr
Holden, MA 01520-1001

Other identifiers

IdentifierTypeStateIssuer
11937353OtherMABCBA

Other names

  • Ms. Rebecca Lauran Tonelli Professional name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rtonelli@baypath.edu

Other providers in Berlin, MA

All providers in Berlin, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.