NPI 1023411881
Olivia Ivanson, SLPBCBA
Practice location
- Address
- 14973 Mancroft Dr, Fishers, IN 46037-5513
- Phone
- (317) 490-9305
- Mailing address
- 2 N Central Ave, Phoenix, AZ 85004-2322
Registered specialties (2)
Speech-Language Pathologist
Primary
Behavior Analyst
Registry record
- NPI
- 1023411881
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Oct 2014
- Record last updated
- 5 Feb 2024
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.