Individual provider Active NPI

Olivia Rose Thompson

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1801461306
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47538 Issued in GA
Practice address
50 Plaza Way NW Ste a
Marietta, GA 30060-1141
Phone
(678) 691-2206
NPI assigned
May 26, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-47538 GA Primary

Addresses

Primary practice location

50 Plaza Way NW Ste a
Marietta, GA 30060-1141

Mailing address

50 Plaza Way NW Ste a
Marietta, GA 30060-1141
Phone (678) 691-2206

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL othompson39@yahoo.com

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

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1801461306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601141",
            "telephone_number": "678-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601141",
            "telephone_number": "678-691-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-47538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "othompson39@yahoo.com",
            "affiliation": "N",
            "address_1": "50 Plaza Way NW Ste A",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.