Olivia Gravino, M.S.ED, BCBA, LBA-NY

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16948 Issued in NY

Practice address

300 Garden City PLZ
Garden City, NY 11530-3302

Phone

(516) 747-9030

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Gayle E Kilgman Therapuetic Resources

  • Specialist
  • Garden City, NY
  • NPI 1073875795
  NPD (past)
• Kidz Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Garden City, NY
  • NPI 1841649928
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1154971786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 EARL PL N",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543445",
            "telephone_number": "917-731-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302",
            "telephone_number": "516-747-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVINO",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED, BCBA, LBA-NY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-14-16948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granger & Sahasra
• Albert L Granger, DDS
• Jonathan Grant
• Kathleen Graustein, PT
• Rachel Gravina
• Joanna Gray, M.S., BCBA
• Lisa Marie Graziano, PT
• Greater Long Island Medical Services PLLC
• Jaleel Devante Green, PT, DPT
• Ariel Greenberg, NP

• Behavior Analyst in Garden City, NY
• Providers in Garden City, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.