Andrew Ernest Nuzzolilli, M.S., BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MH-3138-920318 Issued in MA

Practice address

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900

Phone

(877) 418-2978

Fax

(866) 500-2186

NPI assigned

Sep 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1659985786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST STE 200",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST STE 200",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZOLILLI",
        "first_name": "ANDREW",
        "middle_name": "ERNEST",
        "credential": "M.S., BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "MH-3138-920318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Nunez
• Diana I Nunez
• Nikcolle Nunez
• Madison Marie Nunn
• Brianne Nurse
• Ucee Nwachukwu
• Daniel Robert O'Brien, D.M.D.
• Michelle M O'Day
• Ronald R O'Donnell, PH.D.
• Bridget O'Fallon

• Behavior Analyst in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.