Healthcare Provider Details

I. General information

NPI: 1508259458
Provider Name (Legal Business Name): OLIVIA ANNE DRAGO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4907 NW 43RD ST STE C
GAINESVILLE FL
32606-2007
US

IV. Provider business mailing address

2902 NW 104TH CT # B
GAINESVILLE FL
32606-5198
US

V. Phone/Fax

Practice location:
  • Phone: 352-514-4700
  • Fax:
Mailing address:
  • Phone: 352-514-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-45993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: