Healthcare Provider Details

I. General information

NPI: 1215829486
Provider Name (Legal Business Name): OLIVIA POWELL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 TROUSDALE DR STE 206
NASHVILLE TN
37220-1372
US

IV. Provider business mailing address

2140 BYRUM AVE APT 103
NASHVILLE TN
37203-5479
US

V. Phone/Fax

Practice location:
  • Phone: 615-852-5955
  • Fax:
Mailing address:
  • Phone: 817-933-8175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: