Individual
OLIVIA MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5281 N 99TH AVE STE 100, GLENDALE, AZ 85305-2209
(623) 263-3966
Mailing address
5281 N 99TH AVE STE 100, GLENDALE, AZ 85305-2209
(623) 263-3966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43497
FL
103K00000X
Behavior Analyst
Primary
BEH-001523
AZ
Other
Enumeration date
08/06/2016
Last updated
08/11/2025
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