NPI 1174129886 · live from the CMS NPI Registry
Lisha Damara Ohearn
Behavior Analyst in Fairmont, WV. National Provider Identifier 1174129886, active.
NPI record
| NPI | 1174129886 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 52 Blosser Street, Fairmont, WV 26554 |
| Practice phone | 304-376-9809 |
| Mailing address | 418 Corona Dr, Morgantown, WV 26508 |
| Enumerated | December 8, 2020 |
| Last updated | April 7, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-24-76330 (WV) |
| Technician, Personal Care Attendant | 3747P1801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.