Healthcare Provider Details

I. General information

NPI: 1134051196
Provider Name (Legal Business Name): OLIVIA CRYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WOODCOCK RD STE 100A
ORLANDO FL
32803-3511
US

IV. Provider business mailing address

1000 WOODCOCK RD STE 100A
ORLANDO FL
32803-3511
US

V. Phone/Fax

Practice location:
  • Phone: 407-550-8696
  • Fax:
Mailing address:
  • Phone: 407-550-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: