MEDICARE: EMILY O'NEILL

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	103K00000X	Behavior Analyst	1-05-2614	NJ

General Provider Information

NPI Number	:	1376796391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY O'NEILL

Provider Business Mailing Address
First Line	:	37 LINCOLN AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-2110
Country	:	US
Telephone Number	:	973-477-5551
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 LINCOLN AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-2110
Country	:	US
Telephone Number	:	973-477-5551
Fax Number	:

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

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	06/15/2026

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