Megan Grace Oliveira

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12152766 Issued in CA

Practice address

505
505 San Marin Dr. Suite 100B
Novato, CA 94945

Phone

(707) 799-9527

NPI assigned

Feb 18, 2013

Sex

Female

Sole proprietor

Yes

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1477893170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 KINSLEY ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623009",
            "telephone_number": "916-834-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505",
            "address_2": "505 SAN MARIN DR. SUITE 100B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "707-799-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Federal Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646519",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "MEGAN",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12152766",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel O'Donnell, LMFT
• Meagan Elizabeth Oconnor, MA., LMFT
• Cleda Odiwe
• Cydnie Oleinick
• Ana Maria Oliva, DDS
• Diane Jessie Oliver, LMFT
• Tor Kobayashi Olson, DPT
• Uriel Orozco
• Ana Ortiz
• Katherine Anna Ortiz, SLP

• Behavior Analyst in Novato, CA
• Providers in Novato, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.