Individual
ANNA OSIPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
101 N BROOKSIDE DR, DALLAS, TX 75214-4523
(469) 228-8143
(469) 242-9708
Mailing address
101 N BROOKSIDE DR APT 1315, DALLAS, TX 75214-7519
(469) 228-8143
(469) 242-9708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66399
TX
Other
Enumeration date
11/30/2020
Last updated
04/20/2024
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