Anderson, Olivia
Anderson, Olivia is an individual health care provider with primary practice located at 731 Bielenberg Dr Ste 102-104 , Woodbury MN 55125-1700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Anderson, Olivia can be contacted via phone (612) 439-4653.Contact Information
Primary practice address
731 Bielenberg Dr Ste 102-104
Woodbury MN 55125-1700
Phone: (612) 439-4653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1376282715 |
|---|---|
| LBN Legal business name | Anderson, Olivia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2022 |
| Last updated | Jun 8th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376282715 | NPPES |
| Minnesota | Other | BJP123992369001 | BLUECROSS BLUESHIELD |
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