Michael Olsen

NPI #1649926775 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1649926775
Entity Type: Individual
Name: Michael Olsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2022
Last Updated: Mar 8, 2022

Practice Location

Address: 1011 MEADOWLANDS DR
City: White Bear Lake
State: Minnesota
ZIP Code: 55127-2339
Phone: (612) 445-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Behavior Technician	106S00000X	Primary

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