=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053238576
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2026
-----------------------------------------------------
Last Update Date | 07/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14835 STAGECOACH
-----------------------------------------------------
City | SISTERS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97759-9566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-241-6943
-----------------------------------------------------
Fax | 541-838-6404
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14835 STAGECOACH
-----------------------------------------------------
City | SISTERS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97759-9566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-241-6943
-----------------------------------------------------
Fax | 541-838-6404
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, CLINICAL DIRECTOR
-----------------------------------------------------
Name | OLIVIA MARTENS
-----------------------------------------------------
Credential | MS, LBA, BCBA
-----------------------------------------------------
Telephone | 541-241-6943
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------