Individual provider Active NPI

Mallin Olson, BCBA, LABA, LBA

  • Behavior Analyst
  • Cary, NC
National Provider Identifier
1083125819
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
853 Issued in NC
Practice address
7980 Chapel Hill Rd Ste 135
Cary, NC 27513-4649
Phone
(919) 377-2399
Fax
(919) 377-2395
NPI assigned
Oct 19, 2017
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 853 NC Primary

Addresses

Primary practice location

7980 Chapel Hill Rd Ste 135
Cary, NC 27513-4649

Mailing address

7980 Chapel Hill Rd Ste 135
Cary, NC 27513-4649
Phone (919) 377-2399

Other practice location 1

7334 Chapel Hill Rd
Raleigh, NC 27607-5099
Phone (919) 377-2399

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

LicenseStateTypeSpecialty
853NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Learn and Leap Autism Center, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

7980 Chapel Hill Rd
Ste 135
Cary, NC 27513
Phone (919) 377-2395

7334 Chapel Hill Rd
Raleigh, NC 27607
Phone (919) 377-2395

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1083125819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 CHAPEL HILL RD STE 135",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134649",
            "telephone_number": "919-377-2399",
            "fax_number": "919-377-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 CHAPEL HILL RD STE 135",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134649",
            "telephone_number": "919-377-2399",
            "fax_number": "919-377-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7334 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075099",
            "country_code": "US",
            "telephone_number": "919-377-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MALLIN",
        "credential": "BCBA, LABA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.