Individual
AUTUMN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6366 TELEGRAPH RD, SAINT LOUIS, MO 63129-4920
(920) 857-9041
(920) 857-3366
Mailing address
6366 TELEGRAPH RD, SAINT LOUIS, MO 63129-4920
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79662
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/08/2022
Last updated
03/28/2025
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