Shelby Olson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10170096 Issued in OR

Practice address

412 Jefferson Pkwy Ste 202
Lake Oswego, OR 97035-1252

Phone

(888) 428-3223

Fax

(323) 866-1881

NPI assigned

Sep 3, 2015

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

State licenses

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.

• Behavior Nation LLC

  • Assistant Behavior Analyst
  • Fremont, CA
  • NPI 1659889491
  NPD
• Intercare Therapy Inc.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1164065892
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1356719645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 300A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JEFFERSON PKWY STE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351252",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10170096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ogden, LMT
• Jeb S Oliver, MSW
• Stephen J Olsen, O.D.
• Olson Pediatric Clinic, LLC
• Nicholas A Olson
• Ali Olyaei
• On-Site Anesthesia Services Inc
• One Space Health Care
• Optum Behavioral Care of Colorado, P.C.
• Oral Health Outreach, LLC

• Behavior Analyst in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.