Individual
ELIZABETH OSELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2751 WENDY LN, ROCKFORD, IL 61109-1843
(815) 757-8153
Mailing address
2751 WENDY LN, ROCKFORD, IL 61109-1843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-48690
IL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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