Provider Demographics
NPI:1619580560
Name:OLIVER, JOHN F III (BCBA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:OLIVER
Suffix:III
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:32 PARK PL FL 1
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-1706
Mailing Address - Country:US
Mailing Address - Phone:860-372-1556
Mailing Address - Fax:860-969-0768
Practice Address - Street 1:32 PARK PL FL 1
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1706
Practice Address - Country:US
Practice Address - Phone:860-372-1556
Practice Address - Fax:860-969-0768
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst