Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942666045 Individual Practitioner Female Practitioner

Olivia L Smith , BCBA

Behavior Analyst • Mequon, WI

Professional Overview & Biography Verified Profile Summary

Olivia Smith, BCBA is a registered healthcare professional specializing in Behavior Analyst in Mequon, WI. Practice services are available at 12075 CORPORATE PKWY STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12075 Corporate Pkwy Ste 110

Mequon, WI 530922664

Telephone 8774864140
Fax 8474864145
Associated Practice Facility / Clinic
🏢 North Shore Pediatric Therapy Facility NPI 1811909492

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mequon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Mequon, WI (861 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Wisconsin
129-140 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003339896

Master of Arts, Board Certified Behavior Analyst

Kristen Martin , MS, OTR, L

Occupational Therapist

NPI 1003482985

Master of Science, Occupational Therapist Registered, L

Annamarie Guieb

Behavior Technician

NPI 1003632175
Marissa Keo

Behavior Technician

NPI 1003643974
Jenifer Martinez

Behavior Technician

NPI 1003666181
Refath Haque

Behavior Technician

NPI 1003693797

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2018

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

📍
Updated Business Mailing Address January 09, 2018

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

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as OLIVIA SMITH, BCBA

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

Behavior Analyst (License #1-15-19887 in IL)

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2016

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

📍
Updated Business Mailing Address March 29, 2016

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

👤
Provider Name / Credentials Updated March 29, 2016

Recorded as OLIVIA SMITH, BCBA

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

Behavior Analyst (License #129-140 in WI)

🟢
Initial NPI Registration & Enumeration January 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.