Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144932831 Individual Practitioner Female Practitioner

Emma L Smith , BCBA

Behavior Analyst • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Emma Smith, BCBA is a registered healthcare professional specializing in Behavior Analyst in Syracuse, NY. Practice services are available at 100 INTREPID LN STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Intrepid Ln Ste 2

Syracuse, NY 132052546

Telephone 3157976241
Fax 3157497054
Associated Practice Facility / Clinic
🏢 Kelberman Center, Inc. Facility NPI 1225332182

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Syracuse, NY (5252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NM 1-22-62182

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License NY 002502

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Certification
1-22-62182 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Lindsay Walker

Specialist

NPI 1003441593
Erika Coleman

Social Worker

NPI 1033936018
Alissah Mosack , OTR, L

Occupational Therapist

NPI 1093167983

Occupational Therapist Registered, L

Justine Bankert , BCBA

Behavior Analyst

NPI 1144892209

Board Certified Behavior Analyst

NPI 1184274854

Master of Science, Board Certified Behavior Analyst, Licensed Behavior Analyst

NPI 1215231121

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 11, 2024

Registered at 100 INTREPID LN STE 2, SYRACUSE, NY 132052546 (Tel: 3157976241)

📍
Updated Business Mailing Address March 11, 2024

Registered at 725 DAEDALIAN DR, ROME, NY 134414908 (Tel: 3159273904)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as EMMA SMITH, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Behavior Analyst (License #002502 in NY)

NPI Profile Active December 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2022

Registered at 1350 HILLRISE CIR, LAS CRUCES, NM 880114759 (Tel: 5755229500)

📍
Updated Business Mailing Address December 14, 2022

Registered at 1350 HILLRISE CIR, LAS CRUCES, NM 880114759 (Tel: 5755229500)

👤
Provider Name / Credentials Updated December 14, 2022

Recorded as EMMA VANDERWERKEN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2022

Behavior Analyst (License #1-22-62182 in NM)

🟢
Initial NPI Registration & Enumeration December 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144932831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2022
Last Update: March 11, 2024
Sole Proprietor: No

Mailing Address

725 Daedalian Dr

Rome, NY 134414908

Phone: 3159273904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.