Active NPI
Samantha Wright, MS, BCBA, LBA
- Behavior Analyst
- Latham, NY
National Provider Identifier
1184256448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 002360
- Practice address
- 4 Avis Dr
Latham, NY 12110-2650 - Phone
- (518) 560-4277
- NPI assigned
- Feb 5, 2020
- Last updated
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 002360 | NY | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
4 Avis Dr
Latham, NY 12110-2650
Mailing address
708 County Route 405
Westerlo, NY 12193-3104
Phone (516) 477-7265
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002360 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denise Wright Licensed Behavior Analyst PLLC | Behavior Analyst | Past | Accepting new patients |
| Mountainside Behavior Analysis Services, LCC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Applied Behavior Analysis Team
- Behavior Analyst
- Massapequa, NY
- NPI 1114416021
-
dba Mountainside ABA
- Community/Behavioral Health Agency
- Davis, WV
- NPI 1225574544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1184256448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 COUNTY ROUTE 405",
"city": "WESTERLO",
"state": "NY",
"postal_code": "121933104",
"telephone_number": "516-477-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 AVIS DR",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102650",
"telephone_number": "518-560-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "SAMANTHA",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "002360",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.