Provider Demographics
NPI:1558254441
Name:OLIVA, CINDY STEPHANY
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:STEPHANY
Last Name:OLIVA
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 1:699 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-2800
Mailing Address - Country:US
Mailing Address - Phone:805-256-5875
Mailing Address - Fax:
Practice Address - Street 1:699 EVERGREEN LN
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-2800
Practice Address - Country:US
Practice Address - Phone:805-256-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst