NPIMap

Individual provider Active NPI

Nathaniel Ryan O'Bear, DBA, BCBA

  • Behavior Analyst
  • Claxton, GA
National Provider Identifier
1104566603
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67731 Issued in NU
Practice address
1213 Perkins Mill Rd
Claxton, GA 30417-6465
Phone
(309) 331-0848
NPI assigned
Mar 31, 2022
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-67731 NU Primary
Behavior Technician 106S00000X BACB649630 NU

Addresses

Primary practice location

1213 Perkins Mill Rd
Claxton, GA 30417-6465

Mailing address

1213 Perkins Mill Rd
Claxton, GA 30417-6465
Phone (309) 331-0848

Other practice location 1

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone (855) 832-6727

Other practice location 2

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Rand Speech Pathology LLC Behavior Analyst Past Accepting new patients
O'Bear & Associates Behavior Services Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1104566603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PERKINS MILL RD",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304176465",
            "telephone_number": "309-331-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PERKINS MILL RD",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304176465",
            "telephone_number": "309-331-0848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Peachtree St NW Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303031292",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7108 S Kanner Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349977462",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BEAR",
        "first_name": "NATHANIEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DBA,  BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-23-67731",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "BACB649630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.