Provider Demographics
NPI:1316336472
Name:OLSON, CARISA (NLC0105486)
Entity type:Individual
Prefix:
First Name:CARISA
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:NLC0105486
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 FENTON ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2531
Mailing Address - Country:US
Mailing Address - Phone:303-229-6542
Mailing Address - Fax:
Practice Address - Street 1:7921 FENTON ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2531
Practice Address - Country:US
Practice Address - Phone:303-229-6542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst