Healthcare Provider Details

I. General information

NPI: 1013829241
Provider Name (Legal Business Name): OLIVIA GANDEE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 WV-34
WINFIELD WV
25213
US

IV. Provider business mailing address

3 FRANKIE LN APT 2
ELKVIEW WV
25071-9471
US

V. Phone/Fax

Practice location:
  • Phone: 681-235-3114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: