NPI 1104793629

Olivia Lee Eldredge

Practitioner Behavior Technician Pocatello, ID

Practice location

Address: 500 S 11th Ave STE 504, Pocatello, ID 83201-4881
Phone: (208) 478-9344
Fax: (208) 478-9368
Mailing address: 2222 Teton Plz STE 2, Idaho Falls, ID 83404-6485

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1104793629
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2025
Record last updated: 20 Oct 2025

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.