Individual provider Active NPI

Sean Watson, BCBA, LBA

  • Behavior Analyst
  • Stony Brook, NY
National Provider Identifier
1841791696
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002922-01 Issued in NY
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

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
002922-01NYMDBehavioral Analyst
RBT-17-42213NYMDBehavior 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.

Verify at the official NPI Registry.