Individual
ASHLEY OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(510) 268-8120
Mailing address
1215 N DAVENPORT CT, ERIE, CO 80516-6938
(858) 229-8316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9872
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12796039
CAQH
—
Enumeration date
07/07/2015
Last updated
11/02/2022
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