Individual provider Active NPI

Seth Alexander Rivetti-Sharpe, MA, BCBA, COBA, LBA

  • Behavior Analyst
  • Dayton, OH
National Provider Identifier
1093385270
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51007
Practice address
117 Health Sciences BLDG 3640 Colonel Glenn Hwy
Dayton, OH 45435-6743
Phone
(937) 775-3458
NPI assigned
Jun 29, 2021
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 493 NC
Behavior Analyst 103K00000X 0133002563 VA
Behavior Analyst 103K00000X COBA.00994 OH
Student in an Organized Health Care Education/Training Program 390200000X
Behavior Analyst 103K00000X 1-21-51007 Primary

Addresses

Primary practice location

117 Health Sciences BLDG 3640 Colonel Glenn Hwy
Dayton, OH 45435-6743

Mailing address

2721 Taos Dr
Miamisburg, OH 45342-6800
Phone (812) 374-7290

Other practice location 1

2559 Laurelhurst Rd
Cleveland, OH 44118-4611
Phone (216) 315-2190

Other names 1

  • Mr. Seth A Sharpe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
493NCMDBehavioral Analyst
COBA.00994OHMDBehavioral Analyst
0133002563VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Focus ABA LLC Behavior Analyst PastSince Apr 1, 2023 Accepting new patients
Forward Focus ABA VA LLC Behavior Analyst PastSince Feb 4, 2024 Accepting new patients
Imprint Pediatric Therapy LLC. Behavior Analyst PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1093385270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 TAOS DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426800",
            "telephone_number": "812-374-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HEALTH SCIENCES BLDG 3640 COLONEL GLENN HWY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454356743",
            "telephone_number": "937-775-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2559 Laurelhurst Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441184611",
            "country_code": "US",
            "telephone_number": "216-315-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVETTI-SHARPE",
        "first_name": "SETH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MA, BCBA, COBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "493",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002563",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00994",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-51007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETH",
            "last_name": "SHARPE",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "MA, BCBA, COBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.