Provider Demographics
NPI:1932993649
Name:CEBALLOS, OLIVIA FRANCESCA (MS, BCBA, CT-LBA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:FRANCESCA
Last Name:CEBALLOS
Suffix:
Gender:F
Credentials:MS, BCBA, CT-LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BELDEN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3314
Mailing Address - Country:US
Mailing Address - Phone:203-772-8161
Mailing Address - Fax:203-580-8319
Practice Address - Street 1:24 BELDEN AVE STE 4
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3314
Practice Address - Country:US
Practice Address - Phone:203-772-8161
Practice Address - Fax:203-580-8319
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1990103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst