Olivia Karen Boling

Individual provider Active NPI Behavior Technician · Providence, RI

NPI 1104711787 · NPPES record last updated Aug 14, 2026

Key facts

NPI
1104711787
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
638 Admiral St
Providence, RI 02908-1436
Phone
(860) 882-8917
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

638 Admiral St
Providence, RI 02908-1436

Mailing address

638 Admiral St
Providence, RI 02908-1436
Phone (860) 882-8917

Other providers in Providence, RI

All providers in Providence, RI · Behavior Technician in Rhode Island

Sources for this page

Verify at the official NPI Registry.