Healthcare Provider Details

I. General information

NPI: 1003604190
Provider Name (Legal Business Name): DALAYSHA OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 PECAN CT
DELAWARE OH
43015-3233
US

IV. Provider business mailing address

324 PECAN CT
DELAWARE OH
43015-3233
US

V. Phone/Fax

Practice location:
  • Phone: 567-674-0626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: