SHANE OLSON (NPI# 1891203576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891203576 |
| Entity Type | Individual |
| Full Name | SHANE OLSON |
| Practice Address |
11022 S 51st St Ste 101 Phoenix AZ 85044-1789 |
| Mailing Address |
11221 S 51st St Apt 3011 Phoenix AZ 85044-1767 |
| Practice Telephone | 4802203268 |
| Mailing Telephone | 4802203268 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-28181 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6232 N 7th St Ste 100, Phoenix, AZ 85014 | 6236932954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548660723 | Shane Olson | Massage Therapist | 730 N Hamilton St, Spokane, WA 99202-2045 | 2014-08-26 |
| Street Address |
11022 S 51ST ST STE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629304639 | Janet Kay Olson | Nurse Practitioner | 11022 S 51st St Ste 101, Phoenix, AZ 85044 | 2009-10-26 |
| 1215586664 | Agave Therapeutics Pllc | Clinic/Center | 11022 S 51st St Ste 101, Phoenix, AZ 85044-1789 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773643 | Athra Khdaier | Behavioral Analyst | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 |
| 1730793076 | Shelby Leinweber | Behavioral Analyst | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | Behavioral Analyst | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 |
| 1225657547 | Az Sprout Mc 1 LLC | Behavioral Analyst | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 |
| 1053953943 | Katelyn Paige Brown | Behavioral Analyst | 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 | 2019-10-11 |
| 1487204087 | Elizabeth Vos | Behavioral Analyst | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 |
| 1740832831 | Brandon Nehus | Behavioral Analyst | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 |
| 1689137309 | Dylan Marks | Behavioral Analyst | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 |
| 1295297968 | Michelle Taylor | Behavioral Analyst | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| Find all providers in PHOENIX | ||||
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| 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.