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Individual

MR. MATTHEW RUSSELL OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
2351 SHELLFISH CT, HENRICO, VA 23294-4916
(202) 450-7626
Mailing address
2351 SHELLFISH CT, HENRICO, VA 23294-4916
(202) 450-7626

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000366
VA
251C00000X
Developmentally Disabled Services Day Training Agency

Other

Enumeration date
07/29/2008
Last updated
10/12/2022
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