Provider Demographics
NPI:1053892117
Name:OLSON, PAIGE JOSEPHINE (RBT, CBT)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:JOSEPHINE
Last Name:OLSON
Suffix:
Gender:F
Credentials:RBT, CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 RIVER PARK DR STE 285
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4522
Mailing Address - Country:US
Mailing Address - Phone:425-559-7809
Mailing Address - Fax:
Practice Address - Street 1:2018 156TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3825
Practice Address - Country:US
Practice Address - Phone:425-559-7809
Practice Address - Fax:877-669-1490
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst