Sophie Farah Beausoleil

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

18 Clymer St
Port Jefferson Station, NY 11776-4011

Phone

(631) 384-6360

NPI assigned

Jun 15, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1588599492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CLYMER ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764011",
            "telephone_number": "631-384-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CLYMER ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764011",
            "telephone_number": "631-384-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUSOLEIL",
        "first_name": "SOPHIE",
        "middle_name": "FARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurajean Basile
• Patricia Marie Bass, LCSW
• Angie Margareth Batres-Perez
• Dawn Battaglia
• Brenden M Batton
• Brandi Beere, NP
• Karen Lynn Behrman
• Melissa A Bello, LPN
• Genna Belluardo
• Fernando Edgardo Beltran Jr.

• Behavior Analyst in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Jun 15, 2026; 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.