Provider Demographics
NPI:1548879380
Name:OLIVA LEYVA, ARIANNA (RBT)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:OLIVA LEYVA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 NW 140TH TER APT 3802
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6715
Mailing Address - Country:US
Mailing Address - Phone:786-389-6914
Mailing Address - Fax:
Practice Address - Street 1:8445 NW 140TH TER APT 3802
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-6715
Practice Address - Country:US
Practice Address - Phone:786-389-6914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FLRBT-20-120653106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician