Sara Christine Otto, BCBA 01-20-42117

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42117

Practice address

1200 Concord Ave Ste 185
Concord, CA 94520-5006

Phone

(224) 201-6072

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Mobile Therapy Center of America, LLC

  • Multi-Specialty Clinic/Center
  • Libertyville, IL
  • NPI 1225064488
  NPD (past)
• Mobile Therapy Centers of Tennessee, LLC

  • Behavior Analyst
  • Brentwood, TN
  • NPI 1689187247
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1396219705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "224-201-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "224-201-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 W Winchester Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485360",
            "country_code": "US",
            "telephone_number": "847-816-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Rangeline Rd",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504035",
            "country_code": "US",
            "telephone_number": "407-324-7772",
            "fax_number": "321-248-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "SARA",
        "middle_name": "CHRISTINE",
        "credential": "BCBA 01-20-42117",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-18-9266",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-42117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlize Ott
• Justin Daniel Otterson
• Lukas Wyatt Otteson
• Anya Elisabeth Otto
• Elissa Jean Otto
• Beini Ou
• Jason Jun Jie Ou
• Leila Oueini, MD
• Over the Wall Occupational Therapy Inc.
• Lino Antonio Oviedo Velazquez

• Behavior Analyst in Concord, CA
• Providers in Concord, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.