Andrew McKillip

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.01035 Issued in OH

Practice address

2522 Nutter Park Dr
Beavercreek, OH 45434-3500

Phone

(937) 306-8811

NPI assigned

Sep 21, 2018

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1457835753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CANTERCHASE DR APT 3A",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425650",
            "telephone_number": "937-952-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 NUTTER PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454343500",
            "telephone_number": "937-306-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Schatz Pointe Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454593856",
            "country_code": "US",
            "telephone_number": "937-952-6379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.01035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Anne McCall, MD
• Brittany McClure
• Veneta McDaniel, R.PH, PHARMD, BCPS
• Trinity J McDowell
• Barbara McGirr
• Daniel James McKowen
• Amanda McMullen, RPH
• Melanie McNamee, APRN
• Robert McNeal, ATC
• Karen E McPherson, O.D.

• Behavior Analyst in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.