Olyvia Rae Kenworthy

NPI #1932093317 in Holmen, Wisconsin

Provider Information

NPI Number: 1932093317
Entity Type: Individual
Name: Olyvia Rae Kenworthy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 3936 CIRCLE DR
City: Holmen
State: Wisconsin
ZIP Code: 54636-9187
Phone: (608) 413-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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