Individual
OLIVIA ANN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
23426 US HIGHWAY 33, ELKHART, IN 46517-3600
(574) 387-4313
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
12/07/2020
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