Individual provider · Type 1 NPI

Olivia Shaak

Behavior Analyst · Wyomissing, PA

NPI number 1790402691 Active

Practice location

50 Commerce Dr
Wyomissing, PA 19610-3335

Fax (484) 231-8631

Mailing address

640 Freedom Business Ctr Dr Ste 220
King Of Prussia, PA 19406-1376

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XBH006654 (PA)

Behavior Analyst: 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…

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About NPI 1790402691

Olivia Shaak's National Provider Identifier is 1790402691, issued on Oct 21, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Wyomissing, PA. The record was last updated on Aug 25, 2026.