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Organization
SIMPLY INNOVATIVE BEHAVIOR ANALYSIS PLLC
Active
Organization
SIMPLY INNOVATIVE BEHAVIOR ANALYSIS PLLC
Active
Other names
Simply Innovative Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MASSARO MS.ED LBA BCBA (CHIEF EXECUTIVE OFFICER)
(631) 741-4790
Entity
Organization
Contact information
Practice address
10 NEW MILL RD, SMITHTOWN, NY 11787-3324
(631) 352-2651
Mailing address
PO BOX 236, SMITHTOWN, NY 11787-0236
(631) 352-2651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
04/17/2024
Last updated
07/14/2026
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