Provider Demographics
NPI:1437992450
Name:OLIVERAS, DANIELA ELIZ
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:ELIZ
Last Name:OLIVERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 APPLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1223
Mailing Address - Country:US
Mailing Address - Phone:508-344-9556
Mailing Address - Fax:
Practice Address - Street 1:216 W BOYLSTON ST STE 200
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1788
Practice Address - Country:US
Practice Address - Phone:508-213-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician