Edaliz O'Bear, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39527 Issued in IL

Practice address

1213 Perkins Mill Rd
Claxton, GA 30417-6465

Phone

(737) 757-4074

NPI assigned

Mar 7, 2020

Last updated

Apr 19, 2022By the provider in NPPES

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

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• O'Bear & Associates Behavior Services

  • Behavior Analyst
  • Claxton, GA
  • NPI 1750987285
  NPD Authorized official
• Rand Speech Pathology LLC

  dba Rand Speech Pathology

  • Behavior Analyst
  • Decatur, GA
  • NPI 1659440329
  NPD (past)

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1811522097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PERKINS MILL RD",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304176465",
            "telephone_number": "912-567-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PERKINS MILL RD",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304176465",
            "telephone_number": "737-757-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Northside Xing Ste A",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102377",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BEAR",
        "first_name": "EDALIZ",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-39527",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-39527",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-19-39527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas James Mackay, ATC
• Melissa D Miller, LPC
• Robert R Miller, D.M.D
• Thomas Joseph Miller Jr., M.D.
• O'Bear & Associates Behavior Services
• Nathaniel Ryan O'Bear, DBA, BCBA
• Optim Orthopedics, LLC
• Optim Orthopedics, LLC (Optim Orthopedics)
• Orthopedic Center PC (Optim Orthopedics)
• Joshua Robert Pacut, PA

• Behavior Analyst in Claxton, GA
• Providers in Claxton, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.