NPIMap

Organization Active NPI

Olympic ABA Inc.

  • Behavior Analyst
  • Port Townsend, WA
National Provider Identifier
1306398136
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OLYMPIC ABA INC.
Practice address
4645 Bell Street
Port Townsend, WA 98368
Phone
(360) 643-0034
Fax
(360) 208-0665
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Ms. Joan Gitelman, M.ED, BCBANPI 1689025884
Title
Bcba President
Phone
(360) 643-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4645 Bell Street
Port Townsend, WA 98368

Mailing address

4645 Bell Street
Port Townsend, WA 98368
Phone (360) 643-0034

National Provider Directory

National Provider Directory

Locations

914 Washington St
Ste 7
Port Townsend, WA 98368
Phone (360) 643-0034

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1306398136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELL STREET",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-643-0034",
            "fax_number": "360-208-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 BELL STREET",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-643-0034",
            "fax_number": "360-208-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC ABA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "GITELMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "BCBA PRESIDENT",
        "authorized_official_telephone_number": "360-643-0034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

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