Sean M Meyer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

003276-01 Issued in NY

Practice address

6319 Fly Rd Ste 4
East Syracuse, NY 13057-4900

Phone

(718) 215-5311

Fax

(718) 865-5165

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1053180588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 FLY RD STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574900",
            "telephone_number": "718-215-5311",
            "fax_number": "718-865-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 FLY RD STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574900",
            "telephone_number": "718-215-5311",
            "fax_number": "718-865-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003276-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhavi Menon, MD
• Gwen Elizabeth Mercer
• Catherine C. Merrill, RPAC
• Helene L Metcalf, MS SLP
• Natalie Suzanne Meyer, NP
• Michael P McGee Physical Therapy PC
• Katherine Mikitiuk
• Barbara J Miller, M.D.
• Laura Miller
• Robert F Miller

• Behavior Analyst in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.