Shane Olson

Behavior Analyst · Surprise, AZ

Individual Active NPI

NPI number 1891203576

Practice location

14765 W Mountain View Blvd Ste 107
Surprise, AZ 85374-2704
Phone
(602) 649-0245

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NPI record

NPI
1891203576
Entity type
Individual (Type 1)
Enumeration date
January 17, 2018
Last updated
June 29, 2026
Certified
June 29, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-17-28181 AZ

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

About Shane Olson

Shane Olson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 14765 W Mountain View Blvd Ste 107, Surprise, AZ 85374-2704. The NPI number 1891203576 was assigned on January 17, 2018 and the record was last updated on June 29, 2026.

Shane Olson lists a license in the registry: #1-17-28181 (AZ) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Olson?

The NPI number is 1891203576.

What is the phone number of Shane Olson?

The phone number listed for the practice location is (602) 649-0245.

Where is Shane Olson located?

14765 W Mountain View Blvd Ste 107, Surprise, AZ 85374-2704.

What is the taxonomy code for Shane Olson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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