MRS. TRACY E OLEVANO


Address: 18 Broad St, Johnson City, NY 13790-2198
Phone: 6077987117

MRS. TRACY E OLEVANO (NPI# 1083226674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083226674
Entity Type Individual
Full Name MRS. TRACY E OLEVANO
Credential MS ED.
Practice Address 18 Broad St
Johnson City
NY 13790-2198
Practice Telephone 6077987117
Practice Fax Number 6077980074
Mailing Telephone 6077987117
Mailing Fax Number 6077980074
Enumeration Date 2020-08-17
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 18 BROAD ST
City JOHNSON CITY
State NY
Zip Code 13790-2198

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285738211 April Renee Chidester Speech-Language Pathologist 18 Broad St, Johnson City, NY 13790-2106 2006-09-11
1104425859 Kevin James Ludwig Physical Medicine & Rehabilitation 18 Broad St, Johnson City, NY 13790-2198 2020-10-23
1780154831 Alyssa Janes Occupational Therapist 18 Broad St, Johnson City, NY 13790 2018-12-03
1528577509 Teresa Hiney Speech-Language Pathologist 18 Broad St, Johnson City, NY 13790-2106 2017-09-22
1134672884 Molly Cutia Health Educator 18 Broad St, Johnson City, NY 13790-2106 2016-07-29
1417307406 Tara Schmitt Health Educator 18 Broad St, Johnson City, NY 13790-2106 2016-06-21
1134528698 Alexandra Lynn Borowski Occupational Therapist 18 Broad St, Johnson City, NY 13790-2106 2014-08-20
1326478025 Briana Mueller Occupational Therapist 18 Broad St, Johnson City, NY 13790-2106 2013-11-15
1659611671 Diana L Brewer Speech-Language Pathologist 18 Broad St, Johnson City, NY 13790-2106 2013-02-28
1447501457 Ellyn Diane Green Social Worker 18 Broad St, Johnson City, NY 13790-2106 2012-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144857764 Common Thread Aba LLC Behavioral Analyst 1709 Colonial Ridge Rd, Johnson City, TN 37604-7624 2020-03-24
1306406418 Sichel Spiess Behavioral Analyst 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 2019-06-20
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1487955969 Tri-cities Behavioral Therapy, LLC Behavioral Analyst 290 Boring Chapel Rd, Johnson City, TN 37615-2941 2010-11-15
1881920122 Mary A Smith Behavioral Analyst 302 Wesley St Ste 1, Johnson City, TN 37601-1741 2009-10-21
1306077110 Douglas Vaughn Washburn Behavioral Analyst 701 Azon Rd Fl 2, Johnson City, NY 13790-1724 2009-07-29
1053546994 Missy Ann Baker Behavioral Analyst 1113 E Main St, Johnson City, TN 37601-4823 2009-05-21
1760657100 Robert Vardaman Peets Behavioral Analyst 2 Leanne Cir, Johnson City, TN 37604-7671 2008-04-28
1790324465 Tabitha Ebbert Behavioral Analyst 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 2019-12-30
1215428321 Kayli Cowan Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 2018-05-24
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Competitor

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City JOHNSON CITY
Zip Code 13790

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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