Rosely Sulin Olivares

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

TEACHER Issued in NY

Practice address

116 W 32ND St
New York, NY 10001-3212

Phone

(212) 564-2350

NPI assigned

Mar 15, 2019

Sex

Female

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1447719851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013212",
            "telephone_number": "212-564-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013212",
            "telephone_number": "212-564-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "ROSELY",
        "middle_name": "SULIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "TEACHER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Olivares, CASAC-T
• Del'Lana Olivares, LMSW
• Joane Pauline Bodota Olivares
• Maryjane Olivares, LMHC
• Monique Olivares, P.A.
• Olive Tree Pharmacy
• Robyne Olive, LMSW
• Cristiano Oliveira, M.D.
• Vanessa Sousa Oliveira, PA-C, MS, MPH
• Alejandra Olivencia

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.