Individual
OLYVIA J GOLLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 314-8736
Mailing address
1611 W MARTHA ST, BOISE, ID 83706-2932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-286993
ID
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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