Individual provider Active NPI

Sandra Oliva -Jovanovic, BCBA

  • Behavior Analyst
  • Mamaroneck, NY
National Provider Identifier
1225500317
Registry record updated Dec 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1325 Harrison Ave
Mamaroneck, NY 10543-3119
Phone
(551) 655-7242
NPI assigned
Dec 30, 2018
Last updated
Dec 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2018

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 Primary

Addresses

Primary practice location

1325 Harrison Ave
Mamaroneck, NY 10543-3119

Mailing address

1325 Harrison Ave
Mamaroneck, NY 10543-3119
Phone (551) 655-7242

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

NPI Registry JSON

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1225500317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HARRISON AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433119",
            "telephone_number": "551-655-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HARRISON AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433119",
            "telephone_number": "551-655-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA -JOVANOVIC",
        "first_name": "SANDRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.