Olyvia Bacon
Individual provider Active NPI Behavior Technician · Westfield, IN
NPI 1225835341 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1225835341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 23-287272 (IN)
- Practice address
- 1143 E 181St St
Westfield, IN 46074-8926 - Phone
- (317) 480-4002
- NPI assigned
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-287272 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Play ABA and Language Academy, LLC | Current |
Accepting new patients |
Locations
1143 E 181st St
Westfield, IN 46074
Phone (317) 432-2240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-287272 | IN | Yes |
Addresses
Primary practice location
1143 E 181St St
Westfield, IN 46074-8926
Mailing address
1143 E 181St St
Westfield, IN 46074-8926
Phone (317) 480-4002
Other providers in Westfield, IN
- Asya Pharma Group LLC
- Laila Ann M Atienza
- Braydon Augustinovicz
- Ava Dental
- John Paul Bacolor
- Lindsay Baile
- Paulina Bak
- Deanna Baker
- Bald Spot Racing, LLC
- Madisen Barnes
All providers in Westfield, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.