Katherine O'Connor

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-16808 Issued in OH

Practice address

24865 Detroit Rd
Westlake, OH 44145-2512

Phone

(440) 250-8508

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1669989620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 VANDALIA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452512",
            "telephone_number": "440-250-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "16808",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-16-16808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Nowak
• Diane. M Nunnally
• Nuwave Vision LLC
• Brigid D O'Brien, LPCC/S
• Kennedy O'Brien, RBT
• Mary Lynn T O'Connor, CNP
• Mary Jude O'Doherty
• Elizabeth Anne O'Donnell, PHD
• Eileen M O'Malley, PA-C
• Meagan O'Meara

• All providers in Westlake, OH
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.