Individual provider Active NPI

Alfredo Fuccilli Jr., BCBA

  • Behavior Analyst
  • Bridgewater, NJ
National Provider Identifier
1477026623
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1150 Rte 22 Ste 110
Bridgewater, NJ 08807-2966
Phone
(855) 777-6480
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1150 Rte 22 Ste 110
Bridgewater, NJ 08807-2966

Mailing address

542 Amherst St Ste B
Nashua, NH 03063-1016
Phone (561) 323-6593

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Centers of New Jersey LLC Behavior Analyst CurrentSince Oct 5, 2025 Accepting new patients

Locations

4620 N State Road 7
Ste 300
Lauderdale Lakes, FL 33319
Phone (615) 323-6593

542 Amherst St
#B
Nashua, NH 03063
Phone (844) 771-0965

1150 US Highway 22
Ste 110
Bridgewater, NJ 08807
Phone (844) 771-0965

923 Haddonfield Rd
Ste 300
Cherry Hill, NJ 08002
Phone (215) 309-8910

2163 Oak Tree Rd
Ste 200
Edison, NJ 08820
Phone (786) 774-0679

100 Willow Brook Rd
Ste 300
Freehold, NJ 07728
Phone (609) 845-6157

3 University Plz
Ste 502
Hackensack, NJ 07601
Phone (201) 643-7578

50 Harrison St
Ste 114
Hoboken, NJ 07030
Phone (201) 420-6686

1100 Cornwall Rd
Ste 150
Monmouth Junction, NJ 08852
Phone (561) 484-8546

15000 Commerce Pkwy
Ste C
Mount Laurel, NJ 08054
Phone (855) 640-7888

769 Northfield Ave
West Orange, NJ 07052
Phone (848) 308-4609

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1477026623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST STE B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016",
            "telephone_number": "561-323-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RTE 22 STE 110",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072966",
            "telephone_number": "855-777-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCCILLI",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.