Individual provider Active NPI

Taylor Oliver, BCBA, LBA

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1104382241
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48031 Issued in TN
Practice address
9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone
(865) 394-6612
Fax
(865) 315-7014
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-145741 TN
Technician/Technologist 156F00000X
Behavior Analyst 103K00000X 1-21-48031 TN Primary

Addresses

Primary practice location

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729

Mailing address

11121 Kingston Pike Ste D
Knoxville, TN 37934-2890

Other practice location 1

11121 Kingston Pike Ste D
Knoxville, TN 37934
Phone (501) 574-3053

Other practice location 2

32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025-2453
Phone (248) 712-4381

Other identifiers 2

IdentifierTypeStateIssuer
1-21-48031OtherTNBACB
RBT-20-145741OtherTNBACB

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
RBT-20-145741TNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC Behavior Analyst 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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1104382241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 KINGSTON PIKE STE D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9038 CROSS PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234729",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11121 Kingston Pike Ste D",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37934",
            "country_code": "US",
            "telephone_number": "501-574-3053",
            "fax_number": "833-545-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32100 Telegraph Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252453",
            "country_code": "US",
            "telephone_number": "248-712-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TAYLOR",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-20-145741",
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-21-48031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-48031",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-145741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.