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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CLEMENTINA FOMICHEVA BCBA, LBA
NPI 1710886098
Behavior Analyst in Syracuse, NY

Active since November 03, 2026
750 E ADAMS ST, SYRACUSE, NY 13210(440) 321-3316 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Clementina Fomicheva Bcba, Lba NPPES

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

CLEMENTINA FOMICHEVA BCBA, LBA (NPI 1710886098) is an individual behavior analyst provider in Syracuse, New York, licensed in New York (004872) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1710886098
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCLEMENTINA FOMICHEVACredential: BCBA, LBA
Location Address750 E ADAMS STSyracuse, NY 13210-1834
Mailing Address246 E Water St Apt 302Syracuse, NY 13202-1184 · (440) 321-3316
Phone(440) 321-3316
Sole ProprietorNo
Enumeration DateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1710886098 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 · 004872
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.
750 E ADAMS ST, Syracuse, NY 13210
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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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clementina Fomicheva's NPI number?

The NPI number for Clementina Fomicheva is 1710886098. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Clementina Fomicheva located?

Clementina Fomicheva practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (440) 321-3316.

What is Clementina Fomicheva's specialty?

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

When was this NPI record last updated?

The NPPES record for Clementina Fomicheva was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.