Healthcare Provider Details

I. General information

NPI: 1740814961
Provider Name (Legal Business Name): SAYLOR J OLMOS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 SW MAPP RD
PALM CITY FL
34990-2446
US

IV. Provider business mailing address

1532 SW MAPP RD
PALM CITY FL
34990-2446
US

V. Phone/Fax

Practice location:
  • Phone: 726-786-7047
  • Fax:
Mailing address:
  • Phone: 726-786-7047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: