SAMANTHA G WILSON BCBA, LBA
NPI 1366214959
Behavior Analyst in Syracuse, NY

Q: What is Samantha Wilson's NPI number?

The NPI number for Samantha Wilson is 1366214959. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Q: What is Samantha Wilson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2023

1603 COURT ST, SYRACUSE, NY 13208(315) 455-7591 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Samantha G Wilson Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA G WILSON BCBA, LBA (NPI 1366214959) is an individual behavior analyst provider in Syracuse, New York, licensed in New York (002613) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1366214959

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAMANTHA G WILSONCredential: BCBA, LBA

Location Address1603 COURT STSyracuse, NY 13208-1834

Mailing Address111 Riverglen RdLiverpool, NY 13090-2811 · (315) 559-4729

Phone(315) 455-7591

Sole ProprietorYes

Enumeration DateOctober 26, 2023

NPPES CertifiedOctober 26, 2023

✔ NPI 1366214959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NY · 002613

Definition

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.

1603 COURT ST, Syracuse, NY 13208

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN RUGGERI OTR/L

Occupational Therapist