Healthcare Provider Details

I. General information

NPI: 1922719251
Provider Name (Legal Business Name): OLIVIA MAY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 CHAPEL HILLS DR
COLORADO SPRINGS CO
80920-5452
US

IV. Provider business mailing address

1740 CHAPEL HILLS DR
COLORADO SPRINGS CO
80920-5452
US

V. Phone/Fax

Practice location:
  • Phone: 719-465-3695
  • Fax: 719-465-3914
Mailing address:
  • Phone: 719-465-3695
  • Fax: 719-465-3914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: