Provider Demographics
NPI:1073074712
Name:O'CONNELL, AARON P
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:P
Last Name:O'CONNELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7971 RIVIERA BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6449
Mailing Address - Country:US
Mailing Address - Phone:954-642-1186
Mailing Address - Fax:561-473-9617
Practice Address - Street 1:7971 RIVIERA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6449
Practice Address - Country:US
Practice Address - Phone:954-642-1186
Practice Address - Fax:561-473-9617
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician