Individual
ADDISON TAYLOR OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2985 N 935 E STE 7, LAYTON, UT 84040-7318
(801) 771-0273
Mailing address
3501 S 4625 W, WEST HAVEN, UT 84401-6869
(801) 603-0682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1252809
UT
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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