Active NPI
Terrance Earl O'Neal
- Behavior Technician
- Cleveland, OH
National Provider Identifier
1336828672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1804 E 55TH St
Cleveland, OH 44103-3602 - Phone
- (405) 520-7149
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1804 E 55TH St
Cleveland, OH 44103-3602
Mailing address
11807 N Lane Dr Apt 1
Lakewood, OH 44107-2921
Phone (405) 520-7149
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1336828672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11807 N LANE DR APT 1",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072921",
"telephone_number": "405-520-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 E 55TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033602",
"telephone_number": "405-520-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "TERRANCE",
"middle_name": "EARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.