Organization Active NPI

Ohio Autism Treatment LLC

  • Behavior Analyst
  • Columbus, OH
National Provider Identifier
1124974597
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Mar 9, 2026

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.