Active NPI
Olivia Mulligan, BCBA, LBA
- Behavior Analyst
- Glendale, AZ
National Provider Identifier
1952855009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001523
- Practice address
- 5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209 - Phone
- (623) 263-3966
- NPI assigned
- Aug 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-43497 | FL | |
| Behavior Analyst | 103K00000X | BEH-001523 | AZ | Primary |
Addresses
Primary practice location
5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Mailing address
5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 263-3966
Other names 1
- Olivia Rose Mulligan
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001523 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Health, Inc. | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1952855009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5281 N 99TH AVE STE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052209",
"telephone_number": "623-263-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5281 N 99TH AVE STE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052209",
"telephone_number": "623-263-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "OLIVIA",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-06",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-20-43497",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "MULLIGAN",
"middle_name": "ROSE",
"credential": "BCBA, LBA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.