Brack, Olivia Jane

Brack, Olivia Jane is an individual health care provider with primary practice located at 594 Weybridge Dr , Bloomfield Hills MI 48304-1080. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Brack, Olivia Jane can be contacted via phone (248) 979-4668.

Contact Information

Primary practice address
594 Weybridge Dr Bloomfield Hills MI 48304-1080
Phone: (248) 979-4668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1750962734
LBN Legal business name Brack, Olivia Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated May 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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