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NPI Code Detail

MEDICARE: SARAH CHRISTINE OLSEN MPA, BCBA, LBA

MEDICARE: SARAH CHRISTINE OLSEN MPA, BCBA, LBA
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
1103K00000XBehavior AnalystLBA0747NV
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1104314004
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CHRISTINE OLSEN MPA, BCBA, LBA
Provider Business Mailing Address
First Line : 7260 W AZURE DR STE 140-447
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number : 720-789-7282
Fax Number :
Provider Business Practice Location Address
First Line : 555 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3133
Country : US
Telephone Number : 720-789-7282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 11/13/2024

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