Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia Nevaeh Tidwell

Individual provider Behavior Technician · NPI 1528933694

Olivia Nevaeh Tidwell is a Behavior Technician in Ontario, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3333 Concours Ste 4102
Ontario, CA 91764-6564
Phone: (909) 240-1764
Fax: (909) 259-2369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 106S00000X (CA)

Record details

NPI number1528933694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 8, 2025
Mailing address20933 Sioux Rd Apt 4, Apple Valley, CA 92308-4231

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