Justin J. Tuttle, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-11-4151

Practice address

23 Franklin St
Trumbull, CT 06611-4607

Phone

(203) 880-5041

NPI assigned

Apr 10, 2015

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

Other names 1

• Cornerstone Behavioral Therapy, LLC. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1851787485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110446",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066110446",
            "telephone_number": "203-727-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FRANKLIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114607",
            "telephone_number": "203-880-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JUSTIN",
        "middle_name": "J.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-11-4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORNERSTONE",
            "last_name": "THERAPY, LLC.",
            "middle_name": "BEHAVIORAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trumbull Orthodonics
• Trumbull Pediatrics PC
• Trumbull Pharmacy LLC
• Trumbull Premier Dental
• Trumbull Public Schools
• April B Umek, P.A.-C
• University of New Haven
• Stephanie Urciuoli
• Stephen Urciuoli, MD
• Urological Associates of Bridgeport Prof.Corp.

• Behavior Analyst in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.