Individual
GREG LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, CNA
Contact information
Practice address
545 W 465 N STE 100, PROVIDENCE, UT 84332-8004
(435) 753-6606
Mailing address
422 S 950 W, SPANISH FORK, UT 84660-5726
(801) 794-1522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-344684
UT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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