OLIVIA MICHELLE SHAW (NPI# 1265076731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265076731 |
| Entity Type | Individual |
| Full Name | OLIVIA MICHELLE SHAW |
| Credential | MA, BCBA |
| Practice Address |
5859 W Talavi Blvd Ste 180 Glendale AZ 85306-1873 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 6025602836 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BEH-000521 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA CERTIFICATE | 1-19-37564 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841981 | Olivia R Shaw | Speech-Language Pathologist | 626 Main Rd N, Hampden, ME 04444-1802 | 2018-08-15 |
| Street Address |
5859 W TALAVI BLVD STE 180 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1306443585 | Grace Katherine Brotherton | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-10-01 |
| 1184231458 | Ashley Jean Biondo | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-30 |
| 1093322968 | Crystal Ann Carroll | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-25 |
| 1366056699 | Juliana Terese Hill | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1861006199 | Jessica Yvonne Camacho | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1932713260 | Rosa Marie Chanza | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1154935484 | Jada Inez Ward | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1437762465 | Alyssa Talya Guetter-peters | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-28 |
| 1437762663 | Lucas Wethington Dillon | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
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| 1427666478 | Eloisa Lopez | Behavioral Analyst | 611 N Brand Blvd # 100, Glendale, CA 91203-1221 | 2020-07-15 |
| 1558995332 | Heidi Davidson | Behavioral Analyst | 1332 E Harvard St, Apt 2, Glendale, CA 91205-1439 | 2020-03-02 |
| 1962032490 | Hasmik Asatryan | Behavioral Analyst | 822 E Lomita Ave Apt 2, Glendale, CA 91205-4241 | 2020-01-23 |
| 1619528601 | Elizabeth M Pilott | Behavioral Analyst | 3546 Downing Ave, Glendale, CA 91208-1208 | 2019-09-22 |
| 1063989523 | Dennis Paliwoda | Behavioral Analyst | 1555 N Verdugo Rd Ste 201, Glendale, CA 91208-3207 | 2018-11-01 |
| 1982130381 | Vanessa A Price | Behavioral Analyst | 7023 66th St, Apartment 2l, Glendale, NY 11385-6553 | 2017-05-04 |
| 1639615040 | Ka Lee Jasmine Au | Behavioral Analyst | 1917 Caminito De La Valle, Glendale, CA 91208-3048 | 2017-01-09 |
| 1336698273 | Beyond Behavior California | Behavioral Analyst | 101 N Brand Blvd Fl 11, Glendale, CA 91203-2638 | 2016-10-03 |
| 1558728964 | Ara Tsaturyan | Behavioral Analyst | 1131 E Elk Ave Apt 7, Glendale, CA 91205-1381 | 2016-01-15 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.