The sharpest signal in this week’s CMS NPI registry snapshot is the concentration of records originally enumerated in 2026: the year accounts for 5,947 records in a file of 10,171 providers. The snapshot also includes 5,274 new this week. That is a striking churn of records, not a cumulative count of the behavioral health workforce: the year field gives original enumeration dates, and older providers can return when their records are updated.

California Sets the Pace

California leads the state table with 1,897 records, or 19% of the file. Texas ranks second with 636, while Florida is third with 630; Michigan is close behind at 613. Ohio, New York and North Carolina follow among the largest markets. The distance between California and the next states is the clearest geographic story in the snapshot.

Florida’s strong showing fits its large Medicaid ABA reimbursement program, high autism diagnosis rates and concentration of school-age children receiving behavioral services. Its place among the leading states reflects a substantial market, though the registry does not measure access, unmet need or how many providers are actively treating clients. The new-this-year state ranking also shows California far ahead, with 1,278 records, followed by Michigan and Texas. The listed states describe leading concentrations, not the full national distribution.

RBTs Lead Primary Taxonomies

RBT is the most common primary taxonomy, attached to 3,139 providers, or 31% of the file. The primary BCBA count is 663 providers, or 7%. These categories are not a full census of practitioners or mutually exclusive market shares: taxonomy counts can overlap when providers list more than one specialty, and federal registries tend to underrepresent RBTs relative to the actual workforce. BCBAs design and supervise treatment; RBTs deliver direct therapy under BCBA supervision.

The file identifies 102 dual BCBA-RBT providers. That combination often marks a career path from direct-service work to board certification, with the earlier RBT designation retained. The registry also records 1,990 providers with a second taxonomy and 828 with a third, reflecting the overlap between ABA and specialties such as counseling, social work and speech therapy. Women make up 79% of listed providers, consistent with the broader female predominance in caregiving and education-adjacent work; the file also lists male and nonbinary providers.

Recent Entry, Older Updates

After the 2026 concentration, the largest enumeration-year counts are 486 records from 2025, 473 from 2023 and 460 from 2024. The longer view rises from 254 records in 2019 to 412 in 2022. Recent-year weight aligns with ABA’s expansion since around 2019, as insurance and Medicaid coverage broadened and diagnoses increased. But because older entries can reflect updates to existing records, this weekly snapshot cannot separate new workforce entrants from returning records.

Repeated Organizations, Different Identities

COMMUNITY BEHAVIORAL HEALTH, LLC appears 38 times; a separately styled “COMMUNITY BEHAVIORAL HEALTH LLC” entry appears 7 times. The registry’s notable-organizations list also includes Educare Community Living Corporation - Texas, with 10 entries, and NOVA IC, Inc., with 9. Repeated NPIs or organizational names can indicate multiple sites, billing identities or updates—not necessarily separate companies or new clinics. Blue Sprig Pediatrics, Trumpet Behavioral Health and Action Behavior Centers are not among the notable organizations listed here, so this snapshot alone does not document their activity.

Together, the records depict a fast-changing, geographically concentrated field where individual practitioners and organizations are entering or updating the registry, while providers bridge ABA with adjacent disciplines. For clinics, that growth means staffing opportunity as well as administrative complexity: supervision structures, state licensing and payer rules shape how registry presence becomes usable clinical capacity.