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Olivia L Smith , BCBA

Behavior Analyst β€’ Mequon, WI

Active NPI 1942666045 Individual Practitioner Female Practitioner
Practice location in NPPES

12075 Corporate Pkwy Ste 110
Mequon, WI 530922664

Call 8774864140 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

12075 Corporate Pkwy Ste 110

Mequon, WI 530922664

Telephone 8774864140
Fax 8474864145
Organization at the Same NPPES Address or Phone
North Shore Pediatric Therapy Facility NPI 1689541138

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

NPI first issued

2016

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 Mequon and Wisconsin

22 active clinicians are listed under Behavior Analyst with a practice address in Mequon, WI (858 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mequon

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL 1-15-19887

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Wisconsin
129-140 (WI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Neda Esfahani

Behavior Analyst

NPI 1013560465

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 09, 2018

Registered at 12075 CORPORATE PKWY STE 110, MEQUON, WI 530922664 (Tel: 8774864140)

πŸ“
Updated Business Mailing Address January 09, 2018

Registered at 950 LEE ST, SUITE 210, DES PLAINES, IL 600166532 (Tel: 8774864140)

πŸ‘€
Provider Name / Credentials Updated January 09, 2018

Recorded as OLIVIA SMITH, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Behavior Analyst (license number reported to NPPES: IL 1-15-19887)

βœ…
NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2016

Registered at 950 LEE ST, SUITE 210, DES PLAINES, IL 600166532 (Tel: 8774864140)

πŸ“
Business Mailing Address (Initial Record) March 29, 2016

Registered at 950 LEE ST, SUITE 210, DES PLAINES, IL 600166532 (Tel: 8774864140)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2016

Recorded as OLIVIA SMITH, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Behavior Analyst (license number reported to NPPES: WI 129-140)

🟒
Initial NPI Registration & Enumeration January 06, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942666045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2016
Last Update: January 09, 2018
Sole Proprietor: No

Mailing Address

950 Lee St, Suite 210

Des Plaines, IL 600166532

Phone: 8774864140

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.