Active NPI
Olivia Renee Degagne, BA
- Behavior Technician
- San Diego, CA
National Provider Identifier
1962310904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-514972
- Practice address
- 8303 Clairemont Mesa Blvd Ste 201
San Diego, CA 92111-1326 - Phone
- (760) 294-1206
- NPI assigned
- Aug 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-26-514972 | CA | Primary |
Addresses
Primary practice location
8303 Clairemont Mesa Blvd Ste 201
San Diego, CA 92111-1326
Mailing address
3652 Michelson Dr
Irvine, CA 92612-1727
Phone (949) 474-1493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1962310904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3652 MICHELSON DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121727",
"telephone_number": "949-474-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 CLAIREMONT MESA BLVD STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111326",
"telephone_number": "760-294-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGAGNE",
"first_name": "OLIVIA",
"middle_name": "RENEE",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-26-514972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.