Jeffrey Ryan Oliver, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

146 S Thomas St
Suite C
Tupelo, MS 38801-5328

Phone

(662) 840-0974

Fax

(662) 840-0388

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Center of North Mississippi, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tupelo, MS
  • NPI 1952662157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1689057788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST",
            "address_2": "SUITE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-840-0974",
            "fax_number": "662-840-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST",
            "address_2": "SUITE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-840-0974",
            "fax_number": "662-840-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oceans Behavioral Hospital of Tupelo, LLC
• Oceans Behavioral Hospital of Tupelo, LLC (Oceans Behavioral Hospital of Tupelo)
• Francis Ogbobe, D.O.
• William Garrett Ogg, MD
• Sherry Denise Okun, M.D.
• Michael Tennis Oliver, PH.D.
• Kristen Olson, LCSW
• Adaeze Jennifer Onyia
• Open Gates Counseling Center, LLC
• Emily Orgler, NP

• Behavior Analyst in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Behavior Analyst in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.