Alexandra Victoria Olles

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52422 Issued in FL

Practice address

7964 Oak Run Cir
Lakeland, FL 33809-7252

Phone

(352) 777-5766

NPI assigned

Nov 7, 2017

Last updated

Aug 24, 2021By the provider in NPPES

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

Other names 1

• Alexandra Victoria Olles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Total Care ABA Ga LLC

  • Behavior Analyst
  • Fayetteville, GA
  • NPI 1457930471
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1730692211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 OAK RUN CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097252",
            "telephone_number": "352-777-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 OAK RUN CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097252",
            "telephone_number": "352-777-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Highland Manor Dr Ste 200-038",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336109713",
            "country_code": "US",
            "telephone_number": "863-602-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 131st St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337764015",
            "country_code": "US",
            "telephone_number": "727-492-5369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8950 Dr MLK St N #190 St.",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "33702",
            "country_code": "US",
            "telephone_number": "727-576-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLLES",
        "first_name": "ALEXANDRA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-52422",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "OLLES",
            "middle_name": "VICTORIA",
            "credential": "BCABA, BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.