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Shane Olson

Behavior Analyst β€’ Surprise, AZ

Active NPI 1891203576 Individual Practitioner Male Practitioner
Practice location in NPPES

14765 W Mountain View Blvd Ste 107
Surprise, AZ 853742704

Call 6026490245 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14765 W Mountain View Blvd Ste 107

Surprise, AZ 853742704

Telephone 6026490245
Organization at the Same NPPES Address or Phone
Blue Sprig Pediatrics, Inc Facility NPI 1831892843

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Surprise and Arizona

40 active clinicians are listed under Behavior Analyst with a practice address in Surprise, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Surprise

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ 1-17-28181

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 29, 2026

Registered at 14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 853742704 (Tel: 6026490245)

πŸ“
Updated Business Mailing Address June 29, 2026

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028

πŸ“
Updated Practice Location October 14, 2024

Registered at 7641 E GUADALUPE RD STE B106, MESA, AZ 852129627 (Tel: 6232736186)

πŸ“
Updated Business Mailing Address October 14, 2024

Registered at 5141 HAWTHORNE DR APT I, WEST DES MOINES, IA 502656958 (Tel: 4802203268)

πŸ“
Updated Practice Location February 05, 2020

Registered at 11022 S 51ST ST STE 101, PHOENIX, AZ 850441789 (Tel: 4802203268)

πŸ“
Updated Business Mailing Address February 05, 2020

Registered at 11221 S 51ST ST APT 3011, PHOENIX, AZ 850441767 (Tel: 4802203268)

πŸ“
Updated Practice Location October 29, 2019

Registered at 6232 N 7TH ST STE 100, PHOENIX, AZ 85014 (Tel: 6236932954)

πŸ“
Updated Business Mailing Address October 29, 2019

Registered at 6232 N 7TH ST STE 100, PHOENIX, AZ 850141850 (Tel: 6236932954)

βœ…
NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2018

Registered at 538 S GILBERT RD STE 101-103, GILBERT, AZ 852962268 (Tel: 4804825005)

πŸ“
Business Mailing Address (Initial Record) January 25, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2018

Recorded as SHANE OLSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Behavior Analyst (license number reported to NPPES: AZ 1-17-28181)

🟒
Initial NPI Registration & Enumeration January 17, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891203576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.