Provider Demographics
NPI:1588476303
Name:ADAMS, OLIVIA ANNE (RBT)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:A
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:1500 S DOUGLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4108
Mailing Address - Country:US
Mailing Address - Phone:844-244-1818
Mailing Address - Fax:
Practice Address - Street 1:2965 FORT CAMPBELL BLVD STE 600
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-0405
Practice Address - Country:US
Practice Address - Phone:844-975-3924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician