Dominic Billetta

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH007258 Issued in PA

Practice address

170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422

Phone

(856) 346-0005

NPI assigned

Sep 26, 2024

Sex

Male

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

State licenses

Practice roles

Locations

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.

• CNNH Therapy LLC

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1750845327
  NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1366269698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 VOLPE RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622641",
            "telephone_number": "610-772-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 200",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064422",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLETTA",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa G Bevilacqua
• Sanjana Bhatia-Patel, DO
• Muhammad Zahid Bhatti
• Marci Bienkowski, PT, DPT
• Jamera Bigby, RBT
• Michael Scott Biltucci, DMD
• Eugenia Binder
• Aaron Bingaman
• Holly Birch
• Stacey L. Bishop, CRNP

• Behavior Analyst in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.