Healthcare Provider Details

I. General information

NPI: 1548531916
Provider Name (Legal Business Name): ELIZABETH A O'CALLAHAN LMHC, BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN HOWARD BCBA, LABA

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 VICTORIA AVE
WORCESTER MA
01607-1506
US

IV. Provider business mailing address

14 VICTORIA AVE
WORCESTER MA
01607-1506
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8586
  • Fax: 774-366-0757
Mailing address:
  • Phone: 508-233-8586
  • Fax: 774-366-0757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC13213
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA1305
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: