Active NPI
Colten J Oliver, ABA
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1821630195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37980
- Practice address
- 538 S Gilbert Rd # 101-103
Gilbert, AZ 85296-2268 - Phone
- (480) 482-5005
- NPI assigned
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-37980 | AZ | Primary |
Addresses
Primary practice location
538 S Gilbert Rd # 101-103
Gilbert, AZ 85296-2268
Mailing address
538 S Gilbert Rd # 101-103
Gilbert, AZ 85296-2268
Phone (480) 482-5005
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
- Credentials
- Associate of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1821630195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 S GILBERT RD # 101-103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962268",
"telephone_number": "480-482-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 S GILBERT RD # 101-103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962268",
"telephone_number": "480-482-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "COLTEN",
"middle_name": "J",
"credential": "ABA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "1-19-37980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.