Daniel M Guglielmo, BCBA, LBA

Individual provider Active NPI Behavior Analyst · Albany, NY

NPI 1447804158 · NPPES record last updated Sep 10, 2025

Key facts

NPI
1447804158
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-52140
Practice address
418 Broadway # 8387
Albany, NY 12207-2922
Phone
(315) 335-7114
NPI assigned
Jul 31, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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
Creative Kind ABA LLC Behavior Analyst Current Accepting new patients
Daniel Guglielmo Licensed Behavior Analyst PLLC Behavior Analyst Current
since Sep 15, 2024
Accepting new patients
Conifer Park, Inc. Past
since Aug 1, 2019
Accepting new patients
Conifer Park, Inc. Past
since Aug 1, 2019
Accepting new patients

Locations

418 Broadway
#8387
Albany, NY 12207
Phone (315) 335-7114

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52140 Yes
Counselor 101Y00000X

Addresses

Primary practice location

418 Broadway # 8387
Albany, NY 12207-2922

Mailing address

418 Broadway # 8387
Albany, NY 12207-2922
Phone (315) 335-7114

Other identifiers

IdentifierTypeStateIssuer
07582603MedicaidNY

Other providers in Albany, NY

All providers in Albany, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.