MEDICARE: OLIVIA RAY POPE

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1891580015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA RAY POPE

Provider Business Mailing Address
First Line	:	1094 W 2500 S
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-4658
Country	:	US
Telephone Number	:	435-789-2588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1094 W 2500 S
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-4658
Country	:	US
Telephone Number	:	435-789-2588
Fax Number	:

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

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	04/09/2025

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Directions to “ OLIVIA RAY POPE ” Practice Location

Language	Start Address	Practice Location

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