MEDICARE: LAURA OLIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	NONE	FL

General Provider Information

NPI Number	:	1871488015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA OLIVERA

Provider Business Mailing Address
First Line	:	1700 WOODBURY RD APT 2308
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6025
Country	:	US
Telephone Number	:	321-408-7366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 WOODBURY RD APT 2308
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6025
Country	:	US
Telephone Number	:	321-408-7366
Fax Number	:	321-408-7366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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Directions to “ LAURA OLIVERA ” Practice Location

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