Smith, Olivia L
Smith, Olivia L is an individual health care provider with primary practice located at 12075 Corporate Pkwy Ste 110 , Mequon WI 53092-2664. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Smith, Olivia L can be contacted via phone (877) 486-4140.Contact Information
Primary practice address
12075 Corporate Pkwy Ste 110
Mequon WI 53092-2664
Phone: (877) 486-4140
Fax: (847) 486-4145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-15-19887 | Illinois |
Profile Details
| NPI number | 1942666045 |
|---|---|
| LBN Legal business name | Smith, Olivia L |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2016 |
| Last updated | Jan 9th, 2018 - about 8 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 | 1942666045 | NPPES |
| Wisconsin | Other | 129-140 | STATE OF WISCONSIN |
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