Individual provider Active NPI

Danielle Marie Olague, RBT

  • Behavior Technician
  • Lufkin, TX
National Provider Identifier
1952009078
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-44328 Issued in TX
Practice address
209 Christie Street
Lufkin, TX 75904-5549
Phone
(936) 888-1070
Fax
(936) 873-8979
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-44328 TX Primary

Addresses

Primary practice location

209 Christie Street
Lufkin, TX 75904-5549

Mailing address

209 Christie Street
Lufkin, TX 75904-5549
Phone (936) 888-1070

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

State licenses

LicenseStateTypeSpecialty
RBT-17-44328TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rising Behavioral Therapies PLLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

209 Christie Dr
Lufkin, TX 75904
Phone (936) 404-3679

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1952009078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHRISTIE STREET",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045549",
            "telephone_number": "936-888-1070",
            "fax_number": "936-873-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHRISTIE STREET",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045549",
            "telephone_number": "936-888-1070",
            "fax_number": "936-873-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-17-44328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.