Individual provider Active NPI

Jacquelynn Taylor O'Connor, RBT

  • Behavior Technician
  • Bay Village, OH
National Provider Identifier
1376474056
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB984973 Issued in OH
Practice address
315 Tanglewood LN
Bay Village, OH 44140-1130
Phone
(440) 668-5342
Fax
(440) 291-8025
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB984973 OH Primary

Addresses

Primary practice location

315 Tanglewood LN
Bay Village, OH 44140-1130

Mailing address

315 Tanglewood LN
Bay Village, OH 44140-1130
Phone (440) 668-5342

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

LicenseStateTypeSpecialty
BACB984973OHMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Early Intervention Consulting LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1376474056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TANGLEWOOD LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401130",
            "telephone_number": "440-668-5342",
            "fax_number": "440-291-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TANGLEWOOD LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401130",
            "telephone_number": "440-668-5342",
            "fax_number": "440-291-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JACQUELYNN",
        "middle_name": "TAYLOR",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "BACB984973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.