Betthney O'Connell, M.S.,CCC-SLP, BCBA
Individual provider Active NPI Behavior Analyst · Stuart, VA
NPI 1922466010 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1922466010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 0133000563 (VA)
- Practice address
- 716 Wood Brothers Dr
Stuart, VA 24171-1406 - Phone
- (276) 694-4488
- Fax
- (276) 694-4481
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521000184 | VA | Practitioner - Qualified Speech Language Pathologist | 3577793033 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000563 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterbox Speech and Language Therapy, LLC | Behavior Analyst | Current |
Accepting new patients |
| Chatterbox Speech and Language Therapy, LLC | Current |
Accepting new patients |
Locations
716 Wood Brothers Dr
Stuart, VA 24171
Phone (276) 694-4488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 0119007816 | VA | |
| Speech-Language Pathologist | 235Z00000X | 2202007243 | VA | |
| Behavior Analyst | 103K00000X | 0133000563 | VA | Yes |
Addresses
Primary practice location
716 Wood Brothers Dr
Stuart, VA 24171-1406
Mailing address
PO Box 232
Patrick Springs, VA 24133-0232
Phone (540) 230-1582
Other providers in Stuart, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.