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NPI Code Detail

MEDICARE: OLGA Y NAVROTSKA

MEDICARE: OLGA Y NAVROTSKA
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 Technician

General Provider Information

NPI Number : 1487299046
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA Y NAVROTSKA
Provider Business Mailing Address
First Line : 2097 FREMONT CREST AVE
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9042
Country : US
Telephone Number : 801-791-3257
Fax Number :
Provider Business Practice Location Address
First Line : 6910 S HIGHLAND DR STE 1
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-3061
Country : US
Telephone Number : 704-631-3857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “ OLGA Y NAVROTSKA ” Practice Location

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