Jacqueline Lucille Olivo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4318 Miller Rd
Flint, MI 48507-1267

Phone

(248) 549-4339

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1881376390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3492 MILLS ACRES ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062172",
            "telephone_number": "810-259-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071267",
            "telephone_number": "248-549-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "JACQUELINE",
        "middle_name": "LUCILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Wha Ohm, M.D.
• Jonathan Andrew Oldham, RD
• Harvey Allen Olds, M.D.
• Hannah Olgren Swabash, RN, FNP-BC
• Samantha Marie Oliver, LLMSW, QIDP
• Rebecca Carolyn Olsen, DO
• Dawn Olson, RN
• Sara Faith Olson, LMSW
• Maressa Kay Omara, PA-C
• Omega S Paril MD PC

• Behavior Technician in Flint, MI
• Providers in Flint, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.