Active NPI
Rebecca O'Connell
- Behavior Analyst
- King of Prussia, PA
National Provider Identifier
1225696156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH005833
- Practice address
- 170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422 - Phone
- (856) 346-0005
- NPI assigned
- Jun 5, 2019
- 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 Technician | 106S00000X | RBT-19-85487 | PA | |
| Behavior Analyst | 103K00000X | BH005833 | PA | Primary |
Addresses
Primary practice location
170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422
Mailing address
170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422
Phone (856) 346-0005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH005833 | PA | MD | Behavioral Analyst |
| RBT-19-85487 | PA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNNH Therapy LLC | Behavior Analyst | Current | Accepting new patients |
Locations
170 N Henderson Rd
Ste 200
King of Prussia, PA 19406
Phone (610) 272-7546
Organizations & group practices 1
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": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1225696156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N HENDERSON RD STE 200",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064422",
"telephone_number": "856-346-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N HENDERSON RD STE 200",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064422",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "RBT-19-85487",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.