Andrew Olson, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43833

Practice address

1630 E Shaw Ave Ste 190
Fresno, CA 93710

Phone

(559) 475-7860

Fax

(559) 570-0222

NPI assigned

Feb 20, 2018

Sex

Male

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

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1275033748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042236",
            "telephone_number": "559-492-7900",
            "fax_number": "559-570-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E SHAW AVE STE 190",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-475-7860",
            "fax_number": "559-570-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-43833",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-44014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Olmstead
• Fiyin Olukorede Olorunfunmi
• Brian Olowude, PHD
• Ericka Lyn Olsen, M.A., CCC-SLP
• Sherie Olsen, LVN
• Greg Patrick Olson, RRW
• Leslie Gullahorn Olson, M.D.
• Matthew Ryan Olson, MA, CCC-SLP
• Melissa Olson
• Michelle Therese Olson, PSYD

• Behavior Analyst in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.