CMS-1500 Box 24J / 33a • NPI
1629682828
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
2435 NOOSENECK HILL RD UNIT 5, COVENTRY, RI, 02816-6840
✓ 9-Digit EDI 837 ZIP+4 (02816-6840)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629682828 (NICHOLAS AQUILANTE, MSBA, BCBA, LBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629682828 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICHOLAS AQUILANTE, MSBA, BCBA, LBA |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2435 NOOSENECK HILL RD UNIT 5, COVENTRY, RI, 02816-6840 |
| Practice Telephone / Fax | Tel: (401) 474-0062 | Fax: (401) 474-0062 |
| Administrative Mailing Address | 2435 NOOSENECK HILL RD UNIT 5, COVENTRY, RI, 02816-6840 |
| Enumeration & Last Sync | Enumerated: 2020-09-04 | CMS Record Updated: 2023-07-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICHOLAS AQUILANTE, MSBA, BCBA, LBA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: MA | License: 3211-MH-B1 | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: RI | License: 00355 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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