Pablo Otalvaro, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2617 Cove Cay Dr
Unit 102
Clearwater, FL 33760-1367

Phone

(727) 239-9763

NPI assigned

Feb 6, 2017

Last updated

Sep 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1073051447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 COVE CAY DR",
            "address_2": "UNIT 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 COVE CAY DR",
            "address_2": "UNIT 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601367",
            "telephone_number": "727-239-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTALVARO",
        "first_name": "PABLO",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Osigbeme, M.D.
• Hector Osle, CST/CSFA
• Samir Osmancevic
• Lizeth Osorio, MA
• Mary Jo Osorio, CNA
• Darryl Bently Ott
• Jill M Ott, LMHC
• Our Lives Matter Home Care, LLC
• Marisol Ovalle
• Ann Rudolph Owen, R.N.

• Behavior Analyst in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.