Active NPI
Laura Lee O'Connor
- Behavior Technician
- Grand Rapids, MI
National Provider Identifier
1982057675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 124 Prospect Ave SE
Apt 1
Grand Rapids, MI 49503-4343 - Phone
- (269) 861-3414
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
124 Prospect Ave SE
Apt 1
Grand Rapids, MI 49503-4343
Mailing address
124 Prospect Ave SE
Apt 1
Grand Rapids, MI 49503-4343
Phone (269) 861-3414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1982057675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 PROSPECT AVE SE",
"address_2": "APT 1",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034343",
"telephone_number": "269-861-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PROSPECT AVE SE",
"address_2": "APT 1",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034343",
"telephone_number": "269-861-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "LAURA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.