Olivia Hartvigsen

Individual provider Active NPI Behavior Technician · Centerville, UT

NPI 1447084645 · NPPES record last updated Sep 30, 2024

Key facts

NPI
1447084645
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
283 E 300 S
Centerville, UT 84014-2258
Phone
(801) 897-5604
Fax
(801) 992-8508
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Balance in Behavior Current
since Sep 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

283 E 300 S
Centerville, UT 84014-2258

Mailing address

283 E 300 S
Centerville, UT 84014-2258
Phone (801) 897-5604

Other providers in Centerville, UT

All providers in Centerville, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.