NPI 1114405875
The Olive Branch, LLC
Practice location
- Address
- 1603 Capitol Ave STE 303c, Cheyenne, WY 82001-4561
- Phone
- (910) 849-5517
Authorised official
- Name
- Tera Campbell
- Title
- Owner
- Phone
- (910) 849-5517
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1114405875
- Entity type
- Organization
- NPI issued
- 3 Aug 2018
- Record last updated
- 3 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.