Active NPI
Olivia Healzer
- Behavior Analyst
- Saint Peters, MO
National Provider Identifier
1043822596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 94 Hollister CT
Saint Peters, MO 63376-7837 - Phone
- (314) 287-1825
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-92662 | MO | |
| Behavior Analyst | 103K00000X | MO | Primary |
Addresses
Primary practice location
94 Hollister CT
Saint Peters, MO 63376-7837
Mailing address
94 Hollister CT
Saint Peters, MO 63376-7837
Phone (314) 287-1825
Other practice location 1
205 Portland St
Columbia, MO 65201-6521
Phone (573) 884-6052
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-92662 | MO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism and Behavioral Spectrum LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1043822596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 HOLLISTER CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767837",
"telephone_number": "314-287-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 HOLLISTER CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767837",
"telephone_number": "314-287-1825"
}
],
"practiceLocations": [
{
"address_1": "205 Portland St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016521",
"country_code": "US",
"telephone_number": "573-884-6052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEALZER",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "RBT-19-92662",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Hays Foot and Ankle Center PC
- Damon Hays, DPM
- Joseph Hazan, MD
- Healthkare Solutions LLC
- Healthsource Chiropractic of St. Peters, LLC
- Hear Anywhere LLC
- Heartland Family Dental Care of Missouri-Richard E. Workman DMD, PC (Healthy Smile Care at St. Charles)
- Heartland Hearing Centers LLC
- Hearts of Gold in Home Services LLC
- Hearts of Harmony in Home Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.