Active NPI
Ohio Autism Treatment LLC
- Behavior Analyst
- Columbus, OH
National Provider Identifier
1124974597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- OHIO AUTISM TREATMENT LLC
- Practice address
- 4664 Larwell Dr
Columbus, OH 43220-3621 - Phone
- (614) 487-7805
- NPI assigned
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Wilcock, BCBA
- Title
- Owner
- Phone
- (614) 557-9557
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
4664 Larwell Dr
Columbus, OH 43220-3621
Mailing address
4664 Larwell Dr
Columbus, OH 43220-3621
Other practice location 1
1300 Clairmont Ave
Cambridge, OH 43725-1614
Phone (614) 487-7805
Other practice location 2
1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone (419) 747-4122
Other practice location 3
24865 Detroit Rd
Westlake, OH 44145-2512
Phone (440) 250-8800
Other practice location 4
1 Halloran Park Ln
Saint Clairsville, OH 43950-1367
Phone (740) 296-5743
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1124974597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4664 LARWELL DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4664 LARWELL DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203621",
"telephone_number": "614-487-7805"
}
],
"practiceLocations": [
{
"address_1": "1300 Clairmont Ave",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "OH",
"postal_code": "437251614",
"country_code": "US",
"telephone_number": "614-487-7805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1033 Larchwood Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449072424",
"country_code": "US",
"telephone_number": "419-747-4122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24865 Detroit Rd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441452512",
"country_code": "US",
"telephone_number": "440-250-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Halloran Park Ln",
"address_purpose": "LOCATION",
"city": "Saint Clairsville",
"state": "OH",
"postal_code": "439501367",
"country_code": "US",
"telephone_number": "740-296-5743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OHIO AUTISM TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "WILCOCK",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-557-9557",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.