Healthcare Provider Details

I. General information

NPI: 1275491342
Provider Name (Legal Business Name): KAYLA OBRIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date: 03/17/2026
Reactivation Date: 05/01/2026

III. Provider practice location address

6502 ELBROOK AVE APT 3
CINCINNATI OH
45237-4349
US

IV. Provider business mailing address

6502 ELBROOK AVE APT 3
CINCINNATI OH
45237-4349
US

V. Phone/Fax

Practice location:
  • Phone: 513-401-8953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number01933
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: