Individual
DAVID R OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 960-7474
Mailing address
605 CROCUS CT, NAMPA, ID 83651-6549
(208) 861-4860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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