MR. ALFREDO FUCCILLI JR. (NPI# 1477026623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477026623 |
| Entity Type | Individual |
| Full Name | MR. ALFREDO FUCCILLI JR. |
| Credential | BCBA |
| Practice Address |
1026 W Abriendo Ave Pueblo CO 81004-1128 |
| Mailing Address |
1646 Moore Ave Apt 38 Pueblo CO 81005-2340 |
| Practice Telephone | 7192523327 |
| Mailing Telephone | 2019206117 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 237 Avenue E, Bayonne, NJ 070023714 | 2014553144 |
| Street Address |
1026 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121688 | Angela M O'neal | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-12-19 |
| 1336753698 | Family Support Center of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-03 |
| 1396380994 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-11-07 |
| 1124522396 | Alexandra Unwin | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1013411297 | Nicole Salazar | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1598269862 | Jason Sandoval | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1598138406 | Blessing Okorougo | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-11-02 |
| 1043689425 | Katherine Bassett | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-16 |
| 1134597354 | Christina Guerrero | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-03 |
| 1245608462 | Gabrielle Allard | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297511 | William Micheal Bradford | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
| 1912505116 | Buck Jack LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-10-12 |
| 1376141572 | Buck Jack LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-10-12 |
| 1801493473 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-10-06 |
| 1346847910 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-10-06 |
| 1801401153 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-09-14 |
| 1982217097 | Buck Jack LLC | Behavioral Analyst | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2020-08-28 |
| 1619580735 | Buck Jack LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-08-28 |
| 1295378321 | Applied Behavioral Concepts, LLC | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
| 1124599576 | Darian K Fencl | Behavioral Analyst | 401 Broadway Ave, Pueblo, CO 81004-2127 | 2018-12-11 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on MR. ALFREDO FUCCILLI JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.