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NPI Code Detail

MEDICARE: OLIVIA WARDEN

MEDICARE: OLIVIA WARDEN
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
1156F00000XTechnician/Technologist
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1285304238
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA WARDEN
Provider Business Mailing Address
First Line : 26210 HARPER AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48081-2203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3250 UNIVERSITY DR
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2390
Country : US
Telephone Number : 888-485-8636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 07/16/2025

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Directions to “ OLIVIA WARDEN ” Practice Location

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