Individual
OLIVIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 N DIXIE AVE STE 114, ELIZABETHTOWN, KY 42701-7494
(270) 702-4641
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78496
KY
Other
Enumeration date
11/23/2019
Last updated
02/18/2021
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