# SIMPLY INNOVATIVE BEHAVIOR ANALYSIS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Innovative Therapies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558116244
- **Authorized official:** JENNIFER MASSARO MS.ED LBA BCBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (631) 741-4790

## Contact information

- **Practice address:** 10 NEW MILL RD, SMITHTOWN, NY 11787-3324
- **Practice address phone:** (631) 352-2651
- **Mailing address:** PO BOX 236, SMITHTOWN, NY 11787-0236
- **Mailing address phone:** (631) 352-2651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 07/14/2026