Healthcare Provider Details

I. General information

NPI: 1881343606
Provider Name (Legal Business Name): ARIA OONA OKERWALL M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 BUDINGER AVE FL 34769
SAINT CLOUD FL
34769-7203
US

IV. Provider business mailing address

3201 BUDINGER AVE FL 34769
SAINT CLOUD FL
34769-7203
US

V. Phone/Fax

Practice location:
  • Phone: 407-498-4079
  • Fax:
Mailing address:
  • Phone: 407-498-4079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB754025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: