Healthcare Provider Details

I. General information

NPI: 1700696424
Provider Name (Legal Business Name): OLIVIA SCHRAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 VANADIUM RD STE 300
PITTSBURGH PA
15243-1477
US

IV. Provider business mailing address

363 VANADIUM RD
PITTSBURGH PA
15243-1497
US

V. Phone/Fax

Practice location:
  • Phone: 412-489-6357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH008766
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: