Healthcare Provider Details

I. General information

NPI: 1841105475
Provider Name (Legal Business Name): KAYLA OCONNOR M.A.BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 11TH AVE W
HUNTINGTON WV
25701-3032
US

IV. Provider business mailing address

51611TH AVE WEST
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 304-972-4095
  • Fax:
Mailing address:
  • Phone: 304-972-4095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1084594
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: