Individual provider Active NPI

Katie Olson, BCBA

  • Behavior Analyst
  • Van Wert, OH
National Provider Identifier
1184314106
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-63911 Issued in OH
Practice address
1155 Westwood Dr
Van Wert, OH 45891-2464
Phone
(419) 615-1114
Fax
(567) 429-2041
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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 1-23-63911 OH Primary

Addresses

Primary practice location

1155 Westwood Dr
Van Wert, OH 45891-2464

Mailing address

540 E Main St
Ottawa, OH 45875-1950
Phone (419) 615-1114

Other practice location 1

1710 Manor Hill Rd
Findlay, OH 45840-6600
Phone (419) 615-1114

Other practice location 2

1011 N Defiance St
Ottawa, OH 45875-1261
Phone (419) 615-1114

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddos ABA Therapy, LLC CurrentSince Oct 16, 2022 Accepting new patients
Kiddos ABA Therapy, LLC Behavior Analyst PastSince May 14, 2023 Accepting new patients

Locations

1215 S Portland St
Bryan, OH 43506
Phone (419) 212-9361

6825 N State Route 66
Defiance, OH 43512
Phone (419) 782-4196

2019 Broad Ave
Findlay, OH 45840
Phone (419) 425-5050

1710 Manor Hill Rd
Findlay, OH 45840
Phone (567) 525-4060

2721 Shawnee Rd
Lima, OH 45806
Phone (419) 225-4751

1011 N Defiance St
Ottawa, OH 45875

111 Tarhe Trl
Upper Sandusky, OH 43351
Phone (419) 209-0799

107 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 294-5757

1155 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-9223

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1184314106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751950",
            "telephone_number": "419-615-1114",
            "fax_number": "567-429-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-615-1114",
            "fax_number": "567-429-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Manor Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458406600",
            "country_code": "US",
            "telephone_number": "419-615-1114",
            "fax_number": "567-429-2041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 N Defiance St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "OH",
            "postal_code": "458751261",
            "country_code": "US",
            "telephone_number": "419-615-1114",
            "fax_number": "567-429-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-23-63911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.