Healthcare Provider Details

I. General information

NPI: 1003506023
Provider Name (Legal Business Name): OLIVIA DAVIS CARO BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA ANNE DAVIS

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8551 RIXLEW LN STE 110
MANASSAS VA
20109-4277
US

IV. Provider business mailing address

2550 N HOLLYWOOD WAY STE 301
BURBANK CA
91505-5025
US

V. Phone/Fax

Practice location:
  • Phone: 866-727-8274
  • Fax:
Mailing address:
  • Phone: 866-727-8274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: