Provider Demographics
NPI:1346721479
Name:OCONE, ERIN (MED BCBA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:OCONE
Suffix:
Gender:F
Credentials:MED BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BATES DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3611
Mailing Address - Country:US
Mailing Address - Phone:860-338-3813
Mailing Address - Fax:
Practice Address - Street 1:86 BATES DR APT SUITE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3611
Practice Address - Country:US
Practice Address - Phone:860-338-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-17-28672103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst