Healthcare Provider Details

I. General information

NPI: 1053175919
Provider Name (Legal Business Name): OLIVIA OLIVA SARMIENTO BCBA 1-26-2832468
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 DURDEN PKWY
CAPE CORAL FL
33909-6124
US

IV. Provider business mailing address

1710 DURDEN PKWY
CAPE CORAL FL
33909-6124
US

V. Phone/Fax

Practice location:
  • Phone: 305-300-5278
  • Fax:
Mailing address:
  • Phone: 305-300-5278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-26-2832468
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-326369
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: