Healthcare Provider Details

I. General information

NPI: 1417638487
Provider Name (Legal Business Name): CYNTHIA GARCIA OLIVA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12850 SW 50TH CT
MIRAMAR FL
33027-5808
US

IV. Provider business mailing address

12850 SW 50TH CT
MIRAMAR FL
33027-5808
US

V. Phone/Fax

Practice location:
  • Phone: 786-569-9042
  • Fax:
Mailing address:
  • Phone: 786-569-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89753
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-278023
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: