Healthcare Provider Details

I. General information

NPI: 1427970367
Provider Name (Legal Business Name): OLIVE BRANCH ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 21 1/2 RD
GRAND JUNCTION CO
81505-9445
US

IV. Provider business mailing address

1326 21 1/2 RD
GRAND JUNCTION CO
81505-9445
US

V. Phone/Fax

Practice location:
  • Phone: 970-201-1351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SAVANNAH RILEY
Title or Position: CEO/PRESIDENT
Credential: MD, BCBA
Phone: 970-201-1351