Active NPI
Olivia Jean Thompson, MASPED, BCBA, LBA
- Behavior Analyst
- Williamsburg, VA
National Provider Identifier
1497340434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75611
- Practice address
- 3925 Midlands Rd
Williamsburg, VA 23188-2575 - Phone
- (757) 585-3216
- Fax
- (757) 561-2541
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-147001 | VA | |
| Behavior Analyst | 103K00000X | 1-24-75611 | Primary |
Addresses
Primary practice location
3925 Midlands Rd
Williamsburg, VA 23188-2575
Mailing address
8616 2ND Ave
Apt 142
Silver Spring, MD 20910
Phone (757) 585-3216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-147001 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Child Center for Autism | Behavior Analyst | Current | Accepting new patients |
| The Children'S Spot | Behavior Analyst | Past | Accepting new patients |
Locations
3925 Midlands Rd
Williamsburg, VA 23188
Phone (757) 585-3216
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1194147660
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1497340434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 2ND AVE",
"address_2": "APT 142",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "757-585-3216",
"fax_number": "757-561-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 MIDLANDS RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882575",
"telephone_number": "757-585-3216",
"fax_number": "757-561-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "OLIVIA",
"middle_name": "JEAN",
"credential": "MASPED, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2024-11-20",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-20-147001",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-75611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.