Active NPI
Sean Watson, BCBA, LBA
- Behavior Analyst
- Stony Brook, NY
National Provider Identifier
1841791696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 002922-01
- Practice address
- 5 Barker Dr
Stony Brook, NY 11790-2504 - Phone
- (914) 462-7384
- NPI assigned
- Feb 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-42213 | NY | |
| Specialist | 174400000X | |||
| Behavior Analyst | 103K00000X | 002922-01 | NY | Primary |
Addresses
Primary practice location
5 Barker Dr
Stony Brook, NY 11790-2504
Mailing address
5 Barker Dr
Stony Brook, NY 11790-2504
Other practice location 1
234 N Central Ave Ste 102
Hartsdale, NY 10530-1821
Phone (914) 529-0027
Other practice location 2
116 W 32nd St
New York, NY 10001-3212
Phone (212) 564-2350
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002922-01 | NY | MD | Behavioral Analyst |
| RBT-17-42213 | NY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1841791696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BARKER DR",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BARKER DR",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902504",
"telephone_number": "914-462-7384"
}
],
"practiceLocations": [
{
"address_1": "234 N Central Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Hartsdale",
"state": "NY",
"postal_code": "105301821",
"country_code": "US",
"telephone_number": "914-529-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 W 32nd St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013212",
"country_code": "US",
"telephone_number": "212-564-2350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "SEAN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NY",
"license": "RBT-17-42213",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "002922-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.