Amanda Kate O'Connell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001900 Issued in MI

Practice address

2084 W Thompson Rd
Fenton, MI 48430-1803

Phone

(810) 429-0248

NPI assigned

Oct 12, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Kate Orlando Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ebb & Flow ABA Therapy LLC

  • Behavior Analyst
  • Fenton, MI
  • NPI 1104460278
  NPD
• Inspire Autism LLC

  • Behavior Analyst
  • Novi, MI
  • NPI 1003438052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1306357751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 W THOMPSON RD SUITE #500",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-429-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 W THOMPSON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301803",
            "telephone_number": "810-429-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ORLANDO",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neel Enterprise LLC
• Nicholas Weiss, LMSW, Caadc, PLLC
• Shae Nimmo, CCC-SLP
• Northbank Counseling Services, P.C.
• Nurture Family Center PC
• Barbara A O'Hara, RPH
• Michael Shawn O'Hara, P.T.
• Oakland Psychological Clinic PC
• Ashlyn Olson, MS, TLLP
• Irene Bavoshia Onuoha

• Behavior Analyst in Fenton, MI
• Providers in Fenton, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.