Organization
SIMPLY INNOVATIVE BEHAVIOR ANALYSIS PLLC
Active
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
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
09/08/2025
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