Olivia Owenby

Individual provider Active NPI Behavior Technician · Cookeville, TN

NPI 1366032799 · NPPES record last updated Jan 21, 2021

Key facts

NPI
1366032799
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527
Phone
(931) 288-2422
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Behavior Analysis, LLC Current
since Jan 24, 2021
Accepting new patients

Locations

1680 S Jefferson Ave
Ste G
Cookeville, TN 38506
Phone (931) 261-0889

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527

Mailing address

1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527
Phone (931) 288-2422

Other providers in Cookeville, TN

All providers in Cookeville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.