Healthcare Provider Details

I. General information

NPI: 1245156280
Provider Name (Legal Business Name): MAAT CAROLYN OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2067 PALOLO AVE
HONOLULU HI
96816-3058
US

IV. Provider business mailing address

8225 LAWNDALE ST
HOUSTON TX
77012-3731
US

V. Phone/Fax

Practice location:
  • Phone: 808-944-2882
  • Fax:
Mailing address:
  • Phone: 404-201-8865
  • 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: