Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Innis, BCBA

Individual provider Behavior Analyst · NPI 1659776318

Mr. John Innis, BCBA is a Behavior Analyst in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

52 Broadway
Smithtown, NY 11787-4602
Phone: (516) 319-2773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 000089 (NY)

Record details

NPI number1659776318
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014

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