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OLIVE BRANCH AUTISM SERVICES NPI 1124596390


NPI Information

NPI: 1124596390
Provider Name: OLIVE BRANCH AUTISM SERVICES
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
5750 SUNRISE BLVD STE 210B
CITRUS HEIGHTS, CA
ZIP 95610
Phone: (916) 794-2326
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OLIVE BRANCH AUTISM SERVICES is a behavior analyst in Citrus Heights, CA. The provider is 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. OLIVE BRANCH AUTISM SERVICES NPI is 1124596390. The provider is registered as an organization entity type.

The provider's business location address is:

5750 SUNRISE BLVD STE 210B
CITRUS HEIGHTS, CA
ZIP 95610-639
Phone: (916) 794-2326
Fax: (916) 626-4682

The provider's authorized official is Adam Olives .
The authorized official title is Bcba Owner and has the following contact phone number (916) 794-2326.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 7/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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