Colin David Ainsworth
Individual provider Active NPI Behavior Technician · West Sand Lake, NY
NPI 1184414740 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1184414740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4317 Ny Highway 150
West Sand Lake, NY 12196-1915 - Phone
- (518) 852-0817
- NPI assigned
- May 7, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NY | Yes |
Addresses
Primary practice location
4317 Ny Highway 150
West Sand Lake, NY 12196-1915
Mailing address
4317 Ny Highway 150
West Sand Lake, NY 12196-1915
Phone (518) 852-0817
Other providers in West Sand Lake, NY
All providers in West Sand Lake, NY · Behavior Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.