Olivia Allred

Individual provider Active NPI Behavior Technician · Bountiful, UT

NPI 1063322196 · NPPES record last updated Sep 10, 2026

Key facts

NPI
1063322196
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone
(801) 683-1062
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X UT Yes

Addresses

Primary practice location

415 Medical Dr Ste A100
Bountiful, UT 84010-4995

Mailing address

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone (801) 683-1062

Other providers in Bountiful, UT

All providers in Bountiful, UT · Behavior Technician in Utah

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.