MEDICARE: OLIVIA ANN ESTRELLA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1861343279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA ANN ESTRELLA

Provider Business Mailing Address
First Line	:	15062 CHARLOTTE AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-5037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13980 BLOSSOM HILL RD STE B
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-5121
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ OLIVIA ANN ESTRELLA ” Practice Location

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