Healthcare Provider Details
I. General information
NPI: 1952239733
Provider Name (Legal Business Name): OCONNELL FAMILY SUPPORT AND BEHAVIORAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
614 THAYER ST
ABINGTON MA
02351-5016
US
IV. Provider business mailing address
614 THAYER ST
ABINGTON MA
02351-5016
US
V. Phone/Fax
- Phone: 617-872-2679
- Fax:
- Phone: 617-872-2679
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CAROLYN
O'CONNELL
Title or Position: OWNER
Credential: MS, LABA, BCBA
Phone: 617-872-2679