Olivia Rose Thompson

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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 and National Provider Directory roles.

• Pathways Behavioral Consulting, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1508267139
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-21-47538",
            "state": "GA"
        }
    ],
    "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": []
}

• Jordan Thompson, M.D.
• Kalonice Thompson
• Kennedi Thompson, RBT
• Leslie Walker Thompson, PA-C
• Nathan Robert Thompson, AA
• Rhonda L Thompson, O.D.
• Taivia Nicosi Thompson
• Taylor M. Thompson, BCBA, CRC, NCC, LPC
• Daniel William Thon, AA-C
• Katherine Thornburgh

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• 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.