Healthcare Provider Details

I. General information

NPI: 1245163328
Provider Name (Legal Business Name): KAITLYN O'CONNOR BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 PRINCETON HIGHTSTOWN RD # 335
PRINCETON JUNCTION NJ
08550-3123
US

IV. Provider business mailing address

20 PALMER RD
KENDALL PARK NJ
08824-1228
US

V. Phone/Fax

Practice location:
  • Phone: 732-701-3711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: