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AMANDA BERTOLOTTI BCBA, LBA
NPI 1760057210
Behavior Analyst in Port Jefferson Station, NY

Active since May 26, 2021
5 SQUIRES AVE, PORT JEFFERSON STATION, NY 11776(631) 905-7460 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Bertolotti Bcba, Lba NPPES

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

AMANDA BERTOLOTTI BCBA, LBA (NPI 1760057210) is an individual behavior analyst provider in Port Jefferson Station, New York and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1760057210
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameAMANDA BERTOLOTTICredential: BCBA, LBA
Location Address5 SQUIRES AVEPort Jefferson Station, NY 11776-4324
Mailing Address5 Squires AvePort Jefferson Station, NY 11776-4324
Phone(631) 905-7460
Sole ProprietorNo
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1760057210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
5 SQUIRES AVE, Port Jefferson Station, NY 11776
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bertolotti's NPI number?

The NPI number for Amanda Bertolotti is 1760057210. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Amanda Bertolotti located?

Amanda Bertolotti practices at 5 Squires Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 905-7460.

What is Amanda Bertolotti's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Bertolotti was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.