Sydney Ryan Andamasaris

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1269125 Issued in OH

Practice address

1742 Georgetown Rd Ste Aandb
Hudson, OH 44236-5006

Phone

(330) 967-2064

NPI assigned

Apr 17, 2025

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1639965304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 GEORGETOWN RD STE AANDB",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 GEORGETOWN RD STE AANDB",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365006",
            "telephone_number": "330-967-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445021039",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDAMASARIS",
        "first_name": "SYDNEY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2607953-TRNE",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "BACB1269125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanine@pivotalabatherapy.com",
            "affiliation": "N",
            "address_1": "1742 Georgetown Rd Ste Aandb",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442365006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Technician in Hudson, OH
• Providers in Hudson, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.