Olivia Shae Ballage, R.B.T

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-16-13105 Issued in CO

Practice address

1155 Kelly Johnson Blvd Ste 150
Colorado Springs, CO 80920-3931

Phone

(719) 354-2582

Fax

(720) 493-4632

NPI assigned

May 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dawson Thomas, Inc.

  • Home Health Agency
  • Englewood, CO
  • NPI 1790751915
  NPD (past)

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462579200000",
    "number": "1164878286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 FORT SMITH RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808317937",
            "telephone_number": "719-243-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203931",
            "telephone_number": "719-354-2582",
            "fax_number": "720-493-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAGE",
        "first_name": "OLIVIA",
        "middle_name": "SHAE",
        "credential": "R.B.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "RBT-16-13105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R410449",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy C Ball
• Jason Richard Ball, DPT
• Kathryn Jo Ball, DMD
• Kristen Ball, NP
• Sherry Ball
• Bridget Angela Ballard-Cummins, MA
• Ashley Ballard, R.N.
• Ashley Ballard
• Patrick Ballard
• Phillip W Ballard, MD

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.