Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA J MACK
Active Sole ProprietorOLIVIA J MACK is a Behavior Analyst healthcare provider located in AUGUSTA, Georgia. NPI 1013773753 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · AUGUSTA, GA
Registration Details
- NPI Number
- 1013773753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2024 (2.4607734196654 yrs)
- Last Updated
- Feb 21, 2024
- License
-
12367556 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1195 BROOKSTONE WAYAUGUSTA, GA, 309095656Browse GA providers · Browse ZIP 30909
- Phone
- 9127551554
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. QUINICKA BRYANT-GHANT | MSW, BCBA | 1518216290 |
| SHAWN BOHANAN | BCBA | 1205268273 |
| MRS. MIRA NICOLE STALLINGS | MS, BCBA | 1619386703 |
| MARKETHA BENNETT | — | 1619377728 |
| AMANDA MASSEY | BCBA | 1760857106 |
| DONA ALVINO | MED, BCBA | 1861931495 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.