Provider Demographics
NPI:1194066241
Name:OLMSTEAD, JOSHUA CARTER (MA, BCBA)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CARTER
Last Name:OLMSTEAD
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2481 MONTEREY AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3353
Mailing Address - Country:US
Mailing Address - Phone:570-446-8992
Mailing Address - Fax:
Practice Address - Street 1:2481 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3353
Practice Address - Country:US
Practice Address - Phone:570-446-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-04-1959103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst