Suellen M Oberdorf, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-331920 Issued in IN

Practice address

127 Connolly St
West Lafayette, IN 47906-2721

Phone

(765) 469-2338

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Suellen M Oberdorf Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1063227825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CONNOLLY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062721",
            "telephone_number": "765-469-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CONNOLLY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062721",
            "telephone_number": "765-469-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERDORF",
        "first_name": "SUELLEN",
        "middle_name": "M",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-331920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUELLEN",
            "last_name": "OBERDORF",
            "middle_name": "M",
            "credential": "RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheila O'Dell
• Timothy B O'Donnell, MD
• Kaitlynn O'Hair
• Grainne M O'Malley, MD
• Elizabeth A O'Neil, RN NP
• Keira June Oblenis, SLP
• Robin Obrien
• Ruth S Oconnor, MD
• Ayodeji Ogunleye, MD
• Craig Scott Okeley, PTA

• Behavior Technician in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.