Olivya Shackelton
Individual provider Active NPI Behavior Technician · Colorado Springs, CO
NPI 1649923285 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1649923285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1330 Quail Lake Loop Ste 120
Colorado Springs, CO 80906-4651 - Phone
- (855) 223-7123
- Fax
- (714) 784-7516
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1330 Quail Lake Loop Ste 120
Colorado Springs, CO 80906-4651
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other providers in Colorado Springs, CO
- Catherine Ann Sewell
- William R Seybold
- Nicole Seyller
- Skye Seymour
- Hunter Shackelton
- Dariush Shackiba
- Emily Shade
- Shadow Mountain Behavioral Health LLC.
- Shadow Mountain LLC.
- Shadow Mountain LLC.
All providers in Colorado Springs, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.