Elizabeth MJ Brunelli

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X

Practice address

415 Sunset Ave Apt 48B
North Providence, RI 02904-3793

Phone

(401) 692-0681

NPI assigned

Jan 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1750192746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SUNSET AVE APT 48B",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043793",
            "telephone_number": "401-692-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SUNSET AVE APT 48B",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043793",
            "telephone_number": "401-692-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Sunset Ave Apt 48B",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029043793",
            "country_code": "US",
            "telephone_number": "401-692-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNELLI",
        "first_name": "ELIZABETH",
        "middle_name": "MJ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "RI",
            "license": "106S00000X",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren W Bovie, MD
• Remuel Belen Briones, M.D.
• Jake T Broccolo, DPT
• Kathleen Brown, DPT
• Melissa A. Brunelle, P.T.
• Jennifer Bruni, NP
• Erika Bruno, D.C
• Dally Bucci, FNP
• Ann S Buchanan, PCNS
• Lucille Buono, C.R.N.A.

• Behavior Technician in North Providence, RI
• Providers in North Providence, RI by specialty
• Behavior Technician in Rhode Island

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