SHANE OLSON
NPI 1891203576
Behavior Analyst in Surprise, AZ

Q: What is Shane Olson's NPI number?

The NPI number for Shane Olson is 1891203576. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Q: What is Shane Olson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Olson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2018

14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 85374(602) 649-0245 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 5, 2020, Oct 29, 2019, Jan 17, 2018 (3 updates tracked since 2018).

On this page

About Shane Olson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE OLSON (NPI 1891203576) is an individual behavior analyst provider in Surprise, Arizona, licensed in Arizona (1-17-28181) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1891203576

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameSHANE OLSON

Location Address14765 W MOUNTAIN VIEW BLVD STE 107Surprise, AZ 85374-2704

Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028

Phone(602) 649-0245

Sole ProprietorNo

Enumeration DateJanuary 17, 2018

Last NPPES UpdateJune 29, 20263 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1891203576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in AZ · 1-17-28181

Definition

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.

14765 W MOUNTAIN VIEW BLVD STE 107, Surprise, AZ 85374

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE FLANINGAM

Behavior Technician