Active NPI
Avo Behavioral Health LLC
- Occupational Therapist
- Canton, OH
National Provider Identifier
1336014927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- AVO BEHAVIORAL HEALTH LLC
- Practice address
- 4105 Holiday St NW Ste 202
Canton, OH 44718-2531 - Phone
- (330) 826-1430
- NPI assigned
- Oct 6, 2025
- Last updated
- Jun 1, 2026
- Organization subpart
- Yes
- Parent organization
- A.V.O BEHAVIORAL HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy L Stout
- Title
- Billing Manager
- Phone
- (330) 331-7506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
4105 Holiday St NW Ste 202
Canton, OH 44718-2531
Mailing address
4105 Holiday St NW Ste 202
Canton, OH 44718-2531
Phone (330) 826-1430
National Provider Directory
National Provider Directory- Tax ID family
- Avo Behavioral Health LLC
- Part of
- Avo Behavioral Health LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Canton, OH
- NPI 1104431410
-
- Multi-Specialty Clinic/Center
- Canton, OH
- NPI 1619590882
Locations
4105 Holiday St NW
Ste 202
Canton, OH 44718
Phone (330) 826-1430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Canton, OH
- NPI 1669349106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1336014927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 HOLIDAY ST NW STE 202",
"city": "CANTON",
"state": "OH",
"postal_code": "447182531",
"telephone_number": "330-826-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 HOLIDAY ST NW STE 202",
"city": "CANTON",
"state": "OH",
"postal_code": "447182531",
"telephone_number": "330-826-1430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVO BEHAVIORAL HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "A.V.O BEHAVIORAL HEALTH LLC",
"enumeration_date": "2025-10-06",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "STOUT",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "330-331-7506"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.