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NPI Code Detail

MEDICARE: OLIVIA ANN MARTINEZ HARVEY

MEDICARE: OLIVIA ANN MARTINEZ HARVEY
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740020502
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA ANN MARTINEZ HARVEY
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE
Second Line :
City : GARDENA
State : CA
Zip : 90248-3813
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 2 GRANITE AVE STE 260
Second Line :
City : MILTON
State : MA
Zip : 02186-4381
Country : US
Telephone Number : 617-812-9454
Fax Number : 855-568-2492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 06/03/2024

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Directions to “ OLIVIA ANN MARTINEZ HARVEY ” Practice Location

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