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Jaclyn Connelly

Behavior Analyst β€’ Columbus, OH

Active NPI 1679879548 Individual Practitioner Female Practitioner
Practice location in NPPES

4664 Larwell Dr
Columbus, OH 43220

Call 6144877805 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4664 Larwell Dr

Columbus, OH 43220

Telephone 6144877805
Organization at the Same NPPES Address or Phone
Ohio Autism Treatment Llc Facility NPI 1124974597

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Cleveland, OH; Columbus, OH; Westerville, OH and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

167 active clinicians are listed under Behavior Analyst with a practice address in Columbus, OH (1,659 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 167 clinicians have the CMS telehealth indicator.

0% of these 167 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OH COBA.01130

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

1201 Dublin Rd Ste 100

Columbus, OH 432151162

Phone: 8182416780

158 Wetherby Ln

Westerville, OH 430814957

Phone: 8182416780

16560 Commerce Ct Ste A&b

Cleveland, OH 441306305

Phone: 8182416780

27881 Clemens Rd Ste 2

Westlake, OH 441451167

Phone: 8182416780

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Behavior Analyst (license number reported to NPPES: OH COBA.01130)

πŸ“
Updated Practice Location February 12, 2024

Registered at 4664 LARWELL DR, COLUMBUS, OH 43220 (Tel: 6144877805)

πŸ“
Updated Business Mailing Address February 12, 2024

Registered at 4664 LARWELL DR, COLUMBUS, OH 432203621 (Tel: 6144877805)

πŸ“
Updated Practice Location May 26, 2023

Registered at 1201 DUBLIN RD STE 100, COLUMBUS, OH 432151162 (Tel: 8182416780)

πŸ“
Updated Business Mailing Address May 26, 2023

Registered at 1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 910165239 (Tel: 8182416780)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2023

Behavior Analyst (license number reported to NPPES: WA BA60879156)

πŸ“
Updated Practice Location February 15, 2023

Registered at 14828 SERENITA AVE, OKLAHOMA CITY, OK 73134 (Tel: 8557827822)

πŸ“
Updated Business Mailing Address February 15, 2023

Registered at 14828 SERENITA AVE, OKLAHOMA CITY, OK 731342028 (Tel: 8557827822)

πŸ“
Updated Practice Location January 29, 2019

Registered at 8019 NE 13TH AVE, VANCOUVER, WA 98665 (Tel: 3609843131)

πŸ“
Updated Business Mailing Address January 29, 2019

Registered at 8019 NE 13TH AVE, VANCOUVER, WA 986659604 (Tel: 3609843131)

βœ…
NPI Profile Active February 09, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 09, 2011

Registered at 28050 ROAD 148, VISALIA, CA 932929297 (Tel: 5597473984)

πŸ“
Business Mailing Address (Initial Record) February 09, 2011

Registered at PO BOX 5091, VISALIA, CA 932785091 (Tel: 5597473984)

πŸ‘€
Provider Name / Credentials (Initial Record) February 09, 2011

Recorded as JACLYN CONNELLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Counselor

🟒
Initial NPI Registration & Enumeration February 09, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679879548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2011
Last Update: February 20, 2025
Sole Proprietor: Yes

Mailing Address

4664 Larwell Dr

Columbus, OH 432203621

Phone: 6144877805

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.