Provider Demographics
NPI:1194600460
Name:CARMONA OLIVA, DAYARIS (RBT - 25 - 459883)
Entity type:Individual
Prefix:
First Name:DAYARIS
Middle Name:
Last Name:CARMONA OLIVA
Suffix:
Gender:F
Credentials:RBT - 25 - 459883
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 WINTERGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3650
Mailing Address - Country:US
Mailing Address - Phone:689-300-9885
Mailing Address - Fax:
Practice Address - Street 1:56 WINTERGREEN WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3650
Practice Address - Country:US
Practice Address - Phone:689-300-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25459883106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician