Individual
OLIVIA M HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 SANTA CLARA AVE, OAKLAND, CA 94610-1323
(415) 888-7949
Mailing address
2125 GOLD POPPY ST, BRENTWOOD, CA 94513-1733
(310) 916-6926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
Primary
93522
CA
Other
Enumeration date
03/23/2018
Last updated
01/21/2026
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