Nicole Iacullo, MA BCBA
NPI 1063840080ActiveIndividual· Behavior Analyst· East Brunswick, NJ
Behavior Analyst (MA BCBA) in East Brunswick, New Jersey, licensed in NJ, with an NPI issued in October 2013.
Overview
| NPI | 1063840080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA BCBA |
| Sole proprietor | Yes |
| NPI issued | Oct 30, 2013 |
| Last updated in NPPES | Oct 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-12-12222 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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