Individual
OLIVIA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, COBA
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Mailing address
475 PARK BLVD, WORTHINGTON, OH 43085-3789
(614) 570-8092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31060
OH
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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