MEDICARE: OLIVIA BAILEY BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-21-169318	TX
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1730756529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA BAILEY BCBA

Provider Business Mailing Address
First Line	:	7001 TOWER RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 TOWER RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7381
Country	:	US
Telephone Number	:	303-634-8282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	10/04/2024

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Directions to “ OLIVIA BAILEY BCBA” Practice Location

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