MEDICARE: SHERRI OLIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1417350646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI OLIVERA

Provider Business Mailing Address
First Line	:	309 N TEMPLE ST
Second Line	:
City	:	CORDELL
State	:	OK
Zip	:	73632-4233
Country	:	US
Telephone Number	:	580-302-3633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 S DOUGLAS BLVD
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-5210
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:	855-782-7822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	07/21/2025

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Directions to “ SHERRI OLIVERA ” Practice Location

Language	Start Address	Practice Location

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