Individual
VICTORIA BERYL OLIVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4330 GOLF TER, EAU CLAIRE, WI 54701-4683
(920) 410-1667
Mailing address
106 SPRUCE ST, EAU CLAIRE, WI 54703-5268
(920) 410-1667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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