Individual provider Active NPI

Olivia Cooper Keller, BCBA

  • Behavior Analyst
  • Noblesville, IN
National Provider Identifier
1003551904
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50117 Issued in IN
Practice address
14701 Cumberland Rd Ste 200
Noblesville, IN 46060-3098
Phone
(765) 748-6209
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-50117 IN Primary

Addresses

Primary practice location

14701 Cumberland Rd Ste 200
Noblesville, IN 46060-3098

Mailing address

13629 Mapleleaf Cir
Fishers, IN 46038-8525
Phone (765) 748-6209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address olivia@linkedbehavior.com Direct Link to Learn Behavior Therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1003551904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 MAPLELEAF CIR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388525",
            "telephone_number": "765-748-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 CUMBERLAND RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603098",
            "telephone_number": "765-748-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "OLIVIA",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-21-50117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olivia@linkedbehavior.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Link to Learn Behavior Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14701 Cumberland Rd Ste 200",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460603098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.