Olivia Sanborn, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16925 Ability Way
Grand Haven, MI 49417-9325

Phone

(616) 935-7606

Fax

(676) 935-7607

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Shoreline Center LLC

  • Clinical Psychologist
  • Grand Haven, MI
  • NPI 1942689708
  NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1346964749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 ABILITY WAY",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179325",
            "telephone_number": "616-935-7606",
            "fax_number": "676-935-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 ABILITY WAY",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179325",
            "telephone_number": "616-935-7606",
            "fax_number": "676-935-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "OLIVIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Klanseck, DO
• Christine Mary Ryan, D.O.
• Jennifer Nicole Rycenga, LPTA
• Krista Joy Sall, COTA
• Samaritas
• Sanders Chiropractic Inc.
• Raymond Dexter Sanders, D.C.
• Jennifer Doublestein Sandy, D.O.
• Sassafras Seedlings ABA
• Terry Savidge

• All providers in Grand Haven, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.