Healthcare Provider Details

I. General information

NPI: 1447818851
Provider Name (Legal Business Name): CLAUDIA DELIA OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 N WICKHAM RD STE 13
MELBOURNE FL
32935-8307
US

IV. Provider business mailing address

2728 LAIRD AVE SW
PALM BAY FL
32908-4754
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-1412
  • Fax:
Mailing address:
  • Phone: 786-290-1412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-64994
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: