Tanyetta Nicole Osborne

NPI #1609479625 in Lilburn, Georgia

Provider Information

NPI Number: 1609479625
Entity Type: Individual
Name: Tanyetta Nicole Osborne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 3100 FIVE FORKS TRICKUM RD SW
City: Lilburn
State: Georgia
ZIP Code: 30047-1890
Phone: (470) 485-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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