Active NPI
Olive Branch Care LLC
- Behavior Analyst
- Southwest Ranches, FL
National Provider Identifier
1720952732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- OLIVE BRANCH CARE LLC
- Practice address
- 14195 Old Sheridan St
Southwest Ranches, FL 33330-3628 - Phone
- (305) 494-7721
- NPI assigned
- Oct 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Basualdo, LMHC
- Title
- Owner
- Phone
- (305) 494-7721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14195 Old Sheridan St
Southwest Ranches, FL 33330-3628
Mailing address
14195 Old Sheridan St
Southwest Ranches, FL 33330-3628
Phone (305) 494-7721
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1720952732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14195 OLD SHERIDAN ST",
"city": "SOUTHWEST RANCHES",
"state": "FL",
"postal_code": "333303628",
"telephone_number": "305-494-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14195 OLD SHERIDAN ST",
"city": "SOUTHWEST RANCHES",
"state": "FL",
"postal_code": "333303628",
"telephone_number": "305-494-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "BASUALDO",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-494-7721",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southwest Ranches, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.