Provider Demographics
NPI:1174925739
Name:OLIVEIRA-MAXFIELD, DAWN (BCBA)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:OLIVEIRA-MAXFIELD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35947 PLUMERIA WAY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-2670
Mailing Address - Country:US
Mailing Address - Phone:510-364-7964
Mailing Address - Fax:
Practice Address - Street 1:39510 PASEO PADRE PKWY STE 190
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-4716
Practice Address - Country:US
Practice Address - Phone:559-225-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst