Active NPI
Michele O'Donnell, M.S. BCABA
- Behavior Analyst
- Eustis, FL
National Provider Identifier
1184973224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0114069
- Practice address
- 19611 Spring Oak Dr
Eustis, FL 32736-7275 - Phone
- (415) 971-9701
- NPI assigned
- Sep 5, 2012
- Last updated
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0114069 | FL | Primary |
Addresses
Primary practice location
19611 Spring Oak Dr
Eustis, FL 32736-7275
Mailing address
19611 Spring Oak Dr
Eustis, FL 32736-7275
Phone (415) 971-9701
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0114069 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1184973224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19611 SPRING OAK DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327367275",
"telephone_number": "415-971-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19611 SPRING OAK DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327367275",
"telephone_number": "415-971-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "M.S. BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0114069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.