Kimber O'Connell, MA, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0372 Issued in MA

Practice address

481 Great Road Box 3R
Acton, MA 01720

Phone

(978) 460-4575

Fax

(978) 560-0051

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Horizons Social Coaching, LLC

  • Community/Behavioral Health Agency
  • Acton, MA
  • NPI 1891148508
  NPD (past) Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1376723197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GREAT ROAD BOX 3R",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-460-4575",
            "fax_number": "978-560-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GREAT ROAD BOX 3R",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-460-4575",
            "fax_number": "978-560-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KIMBER",
        "credential": "MA, BCBA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Nolan, RN
• Conor Nordengren, DPT
• North Acton Dental
• Meredith Norton
• Katherine O'Brien, RD, LDN
• Carolyn S O'Conor-Ferguson
• Carolyn O'Donnell-Walker, M.D.
• Julie Ann O'Hara, LICSW
• Peter Richard Oconnor, PSY.D.
• David Mitchell Ogrodnick, D.D.S., F.A.G.D.

• Behavior Analyst in Acton, MA
• Providers in Acton, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.