DAVID DEPETRIS BCBA, LBA, LABA
NPI 1174265862
Behavior Analyst in Shelton, CT

Q: What is David Depetris's NPI number?

The NPI number for David Depetris is 1174265862. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is David Depetris's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for David Depetris was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2022

100 BEARD SAWMILL RD, SHELTON, CT 06484(475) 239-5512 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About David Depetris Bcba, Lba, Laba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID DEPETRIS BCBA, LBA, LABA (NPI 1174265862) is an individual behavior analyst provider in Shelton, Connecticut, licensed in Connecticut (1428) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1174265862

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDAVID DEPETRISCredential: BCBA, LBA, LABA

Location Address100 BEARD SAWMILL RDShelton, CT 06484-6150

Mailing Address100 Beard Sawmill RdShelton, CT 06484-6150

Phone(475) 239-5512

Sole ProprietorYes

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1174265862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CT · 1428

Definition

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.

100 BEARD SAWMILL RD, Shelton, CT 06484

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATILYN ROMAIN OTR/L

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