Individual
OLENA OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9089 S PECOS RD, HENDERSON, NV 89074-7183
(702) 680-1526
Mailing address
3640 WAYNESVILL ST, LAS VEGAS, NV 89122-4112
(702) 502-5496
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-4615-577445
NV
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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