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Samuel Kohl , BCBA

Behavior Analyst β€’ Lakewood, NJ

Active NPI 1366382566 Individual Practitioner Male Practitioner
Practice location in NPPES

46 Budleman Way
Lakewood, NJ 087016104

Call 3474550102 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

46 Budleman Way

Lakewood, NJ 087016104

Telephone 3474550102
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Brooklyn, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lakewood and New Jersey

469 active clinicians are listed under Behavior Analyst with a practice address in Lakewood, NJ (3,896 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lakewood

0% of these 469 clinicians have the CMS telehealth indicator.

0% of these 469 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NY BACB921419

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Secondary Practice Locations

1743 48th St

Brooklyn, NY 112041214

Phone: 3474550102

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active March 30, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 30, 2026

Registered at 46 BUDLEMAN WAY, LAKEWOOD, NJ 087016104 (Tel: 3474550102)

πŸ“
Business Mailing Address (Initial Record) March 30, 2026

Registered at 46 BUDLEMAN WAY, LAKEWOOD, NJ 087016104 (Tel: 3474550102)

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Secondary Practice Location Registered March 30, 2026

Additional practice office at 1743 48th St, Brooklyn, NY 112041214

πŸ‘€
Provider Name / Credentials (Initial Record) March 30, 2026

Recorded as SAMUEL KOHL, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Behavior Analyst (license number reported to NPPES: NY BACB921419)

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Initial NPI Registration & Enumeration March 30, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366382566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2026
Last Update: March 30, 2026
Sole Proprietor: Yes

Mailing Address

46 Budleman Way

Lakewood, NJ 087016104

Phone: 3474550102

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.