Michael O'Brien, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

170612 Issued in KY

Practice address

5502 Charlestown Pike
Jeffersonville, IN 47130-8755

Phone

(502) 554-1900

NPI assigned

Aug 15, 2017

Sex

Male

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

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.

• Kentuckiana Behavior Therapy PLLC

  • Behavior Analyst
  • Jeffersonville, IN
  • NPI 1659881282
  NPD (past) Authorized official

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1699291393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 CHARLESTOWN PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 CHARLESTOWN PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308755",
            "telephone_number": "502-554-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "170612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novamed Eye Surgery Center of New Albany, LLC
• Amanda Marie Stolle Nunier, D.C.
• Aneshia Nunley, NP
• Eliabeth Nussbaum, ED.S., NCSP
• Courtney Renee Nussbaumer, MSOT, OTR
• Cheyenne O'Conner, RBT
• Erin O'Rourke, RBT
• Kearstin Odaniel, LMHC
• Haley Ohlmann, RBT
• Jamie Ohlmann

• Behavior Analyst in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Behavior Analyst in Indiana

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