Individual provider Active NPI

Sarah Christine Olsen, MPA, BCBA, LBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1104314004
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
555 N Maryland Pkwy
Las Vegas, NV 89101-3133
Phone
(720) 789-7282
NPI assigned
Apr 25, 2018
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0747 NV
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

555 N Maryland Pkwy
Las Vegas, NV 89101-3133

Mailing address

7260 W Azure Dr Ste 140-447
Las Vegas, NV 89130-7999
Phone (720) 789-7282

Other practice location 1

2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374
Phone (855) 223-7123

Other practice location 2

8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Phone (619) 795-9925

Other practice location 3

555 N Maryland Pkwy
Las Vegas, NV 89101-3133
Phone (702) 789-7282

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
LBA0747NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Behavioral Services LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients
Aspire Behavioral Services LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

555 N Maryland Pkwy
Las Vegas, NV 89101
Phone (702) 207-1614

7260 W Azure Dr
Ste 140447
Las Vegas, NV 89130
Phone (702) 328-2229

Organizations & group practices 2

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1104314004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-447",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999",
            "telephone_number": "720-789-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013133",
            "telephone_number": "720-789-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2928 Jefferson St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082374",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8885 Rio San Diego Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081669",
            "country_code": "US",
            "telephone_number": "619-795-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891013133",
            "country_code": "US",
            "telephone_number": "702-789-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SARAH",
        "middle_name": "CHRISTINE",
        "credential": "MPA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0747",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.