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NPI Code Detail

MEDICARE: OLIVIA WOLVERTON

MEDICARE: OLIVIA WOLVERTON
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
1106S00000XBehavior Technician25-439562IN

General Provider Information

NPI Number : 1083507289
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA WOLVERTON
Provider Business Mailing Address
First Line : 2701 ALBRIGHT RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-3996
Country : US
Telephone Number : 765-438-8515
Fax Number :
Provider Business Practice Location Address
First Line : 2701 ALBRIGHT RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-3996
Country : US
Telephone Number : 765-438-8515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 02/18/2026

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Directions to “ OLIVIA WOLVERTON ” Practice Location

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