Individual
LAURA MIRANDA OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
004593-01
NY
103K00000X
Behavior Analyst
Primary
10244450
OR
103TC0700X
Clinical Psychologist
Primary
PSY0007007
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
36536
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
CA
Other
Enumeration date
10/14/2020
Last updated
05/12/2026
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