Olivia Farah, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-333024 Issued in FL

Practice address

7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531

Phone

(616) 222-5607

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proactive Life Skills LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1902331382
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1235980764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 BAYMEADOWS WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567531",
            "telephone_number": "616-222-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 BAYMEADOWS WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567531",
            "telephone_number": "616-222-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "OLIVIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-333024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott J Fanning
• Alexander A Farag, MD
• Salma Ashraf Farag, MD
• George Jack Farah Jr.
• James Farah
• Perry Fardella, PT, ATC, CSCS
• Alexander Fardman, MD
• Bayan Fares, BDS MSD ORTHODONTICS
• Ana Cecilia Farfan Ruiz, MD
• Bryan Farford, DO

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.