Organization
OLSEN BEHAVIOR LLC
Active
Other names
Lucid Behavior
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE R OLSEN BCBA (OWNER)
(509) 505-6914
Entity
Organization
Contact information
Practice address
2820 E MARSHALL AVE, SPOKANE, WA 99207-5419
(509) 505-6914
Mailing address
2820 E MARSHALL AVE, SPOKANE, WA 99207-5419
(509) 505-6914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
03/30/2022
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