Individual provider Active NPI

Olga Brovko, BCBA

  • Behavior Analyst
  • Celebration, FL
National Provider Identifier
1689211435
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68433 Issued in FL
Practice address
1170 Celebration Blvd Ste 104
Celebration, FL 34747-4604
Phone
(561) 903-1955
NPI assigned
Nov 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-68433 FL Primary

Addresses

Primary practice location

1170 Celebration Blvd Ste 104
Celebration, FL 34747-4604

Mailing address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone (561) 323-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1689211435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-323-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CELEBRATION BLVD STE 104",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474604",
            "telephone_number": "561-903-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROVKO",
        "first_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-68433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.