Active NPI
Lisha Damara Ohearn
- Behavior Analyst
- Fairmont, WV
National Provider Identifier
1174129886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-76330
- Practice address
- 52 Blosser Street
Fairmont, WV 26554 - Phone
- (304) 376-9809
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-76330 | WV | Primary |
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
52 Blosser Street
Fairmont, WV 26554
Mailing address
418 Corona Dr
Morgantown, WV 26508-9191
Phone (304) 376-9809
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1174129886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CORONA DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265089191",
"telephone_number": "304-376-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 BLOSSER STREET",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-376-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHEARN",
"first_name": "LISHA",
"middle_name": "DAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WV",
"license": "1-24-76330",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.