Olivia Grace Baetz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-391126

Practice address

710 Palekaua St
Honolulu, HI 96816-4755

Phone

(808) 780-0014

NPI assigned

Dec 12, 2024

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

Practice roles

Locations

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.

• Behavioral and Therapeutic Services of Hawaii LLC

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1871905711

  Behavior Technician

  NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1992512909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22005",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232005",
            "telephone_number": "808-780-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PALEKAUA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164755",
            "telephone_number": "808-780-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAETZ",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-24-391126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Badiable, FNP-C
• Marina Aquiran Badua, MD
• Nadia Yun Badua, MASSAGE THERAPY
• Glenn Baer, HIS
• Kelsy Baer, HIS
• Vilmarie Baez
• Patience Kankam Baffour
• Julianne Bagalso
• Mary Grace Q Bagalso, CRNA
• Michael James Bagley, IDC

• All providers in Honolulu, HI
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.