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Deactivated NPI 1699569665 Deactivated / Inactive NPI

Otavian Kenechi Emeka

Behavior Technician • O Fallon, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Otavian Emeka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2025
NPI Deactivation Date December 11, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Otavian Emeka was a registered Behavior Technician practicing in O Fallon, MO. Throughout an active medical career spanning 1 years, Otavian Emeka provided care at the practice location at 16 BOXWOOD CREST CT until profile deactivation on 2025-12-11.

Practice Location & Contact Primary Location

Practice Address

16 Boxwood Crest Ct

O Fallon, MO 633665975

Telephone 2173163132

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in O Fallon, MO (3729 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

NPI Profile Active April 07, 2025

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2025

Registered at 16 BOXWOOD CREST CT, O FALLON, MO 633665975 (Tel: 2173163132)

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Updated Business Mailing Address April 07, 2025

Registered at 16 BOXWOOD CREST CT, O FALLON, MO 633665975 (Tel: 2173163132)

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Provider Name / Credentials Updated April 07, 2025

Recorded as OTAVIAN EMEKA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2025

Behavior Technician

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Initial NPI Registration & Enumeration April 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699569665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2025
Last Update: April 07, 2025
Deactivation Date: December 11, 2025

Mailing Address

16 Boxwood Crest Ct

O Fallon, MO 633665975

Phone: 2173163132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.