Most Relevant Information
Provider Data
| NPI Number: | 1003405192 |
| Provider Name: | OLIVIA DAWN FEGTER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/13/2021 |
| Last Updated: | 01/19/2021 |
Provider Practice Location
1140 W 1130 S SUITE B
OREM
UT
84058
Practice Location Phone/Fax
| Phone: | 6307314835 |
| Fax: |
Provider Mailing Location
475 W 1720 N APT 113
PROVO
UT
846046428
Provider Mailing Phone/Fax
| Phone: | 6307314835 |
| Fax: |