Barbara O'Malley Cannon, PH.D., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1955 Issued in MI

Practice address

461 River Rd
Andover, MA 01810-4213

Phone

(781) 223-1198

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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.

• Melmark, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Berwyn, PA
  • NPI 1861568107
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1992066716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423804",
            "telephone_number": "978-371-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104213",
            "telephone_number": "781-223-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BARBARA",
        "middle_name": "O'MALLEY",
        "credential": "PH.D., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-04-1955",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lee Cahill, LICSW
• David Callaghan
• Ellen Grace Callahan, CPNP
• Richard A Campbell, CRNA
• Campromo Partners LLC
• Bonnie L. Cannon, LICSW
• Kevin T Cannon, PH.D.
• Nancy B Caporello, LEP
• Kellie J Capra, RN
• Care for You, Inc.

• Behavior Analyst in Andover, MA
• Providers in Andover, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.