Thomas Patrick O'Neill
Individual provider Active NPI Behavior Analyst · Kearns, UT
NPI 1306151089 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1306151089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 5930 S 4800 W
Kearns, UT 84118-6061 - Phone
- (801) 966-7133
- NPI assigned
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
5930 S 4800 W
Kearns, UT 84118-6061
Mailing address
5930 S 4800 W
Kearns, UT 84118-6061
Phone (801) 966-7133
Other providers in Kearns, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.