NPI 1154786499 · live from the CMS NPI Registry
Brooke O'Connell
Behavior Analyst in Leesburg, VA. National Provider Identifier 1154786499, active.
NPI record
| NPI | 1154786499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 801 Childrens Center Rd Sw, Leesburg, VA 20175 |
| Practice phone | 703-777-3485 |
| Mailing address | 116 E Martin St, Martinsburg, WV 25401 |
| Enumerated | December 30, 2015 |
| Last updated | December 30, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.