Healthcare Provider Details

I. General information

NPI: 1033486386
Provider Name (Legal Business Name): JOSEPH R ROBITAILLE CAGS, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 COMSTOCK PKWY
CRANSTON RI
02921-2002
US

IV. Provider business mailing address

1881 WORCESTER RD
FRAMINGHAM MA
01701-5410
US

V. Phone/Fax

Practice location:
  • Phone: 401-463-0202
  • Fax:
Mailing address:
  • Phone: 508-628-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-10329
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: