MEDICARE: CHERYL N O'BRIEN MA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	CB61053604	WA
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1184222879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL N O'BRIEN MA, BCBA

Provider Business Mailing Address
First Line	:	235 ST JOHN RD STE 50
Second Line	:
City	:	FLETCHER
State	:	NC
Zip	:	28732-8334
Country	:	US
Telephone Number	:	828-382-3262
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 ST JOHN RD STE 50
Second Line	:
City	:	FLETCHER
State	:	NC
Zip	:	28732-8334
Country	:	US
Telephone Number	:	828-382-3262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	09/02/2025

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