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Dr. Sean William Smith , BCBA-D

Behavior Analyst β€’ Syracuse, NY

Active NPI 1538623897 Individual Practitioner Male Practitioner
Practice location in NPPES

475 Irving Ave, Suite 300
Syracuse, NY 132102306

Call 3154645540 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

475 Irving Ave
Suite 300

Syracuse, NY 132102306

Telephone 3154645540
Organization at the Same NPPES Address or Phone
Loftus, Ryu & Bartol Md's Pc Facility NPI 1326041286

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Syracuse and New York

22 active clinicians are listed under Behavior Analyst with a practice address in Syracuse, NY (5,206 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Syracuse

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2023-10-31
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NY 002635

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 York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Atika Azhar , MD

Student in an Organized Health Care Education/Training Program

NPI 1013535723

Doctor of Medicine (M.D.)

Rachel Carnicelli , FNP

Nurse Practitioner - Family

NPI 1114600012

Family Nurse Practitioner

NPI 1164164067

Doctor of Osteopathic Medicine (D.O.)

Dr. James Decourcey , DO

Emergency Medicine

NPI 1053052589

Doctor of Osteopathic Medicine (D.O.)

Sara Eckrich , NP

Nurse Practitioner - Family

NPI 1174858187

Nurse Practitioner

Kamal Gautam

Student in an Organized Health Care Education/Training Program

NPI 1063133924

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location October 31, 2023

Registered at 475 IRVING AVE, SUITE 300, SYRACUSE, NY 132102306 (Tel: 3154645540)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Behavior Analyst (license number reported to NPPES: NY 002635)

πŸ“
Updated Practice Location July 20, 2021

Registered at 4101 NW 89TH BLVD, GAINESVILLE, FL 326063813 (Tel: 3525549162)

πŸ“
Updated Business Mailing Address July 20, 2021

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028

πŸ‘€
Provider Name / Credentials Updated July 20, 2021

Recorded as SEAN SMITH, BCBA-D

βœ…
NPI Profile Active January 30, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 30, 2019

Registered at 444 S 44TH ST, OMAHA, NE 681313727 (Tel: 4025598863)

πŸ“
Business Mailing Address (Initial Record) January 30, 2019

Registered at 985450 NEBRASKA MEDICAL CTR, OMAHA, NE 681985450

πŸ‘€
Provider Name / Credentials (Initial Record) January 30, 2019

Recorded as SEAN SMITH, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration January 30, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538623897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: October 31, 2023
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

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.