Individual
KELLY OSMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
139 E OLD TRENTON RD, CLARKSVILLE, TN 37043-5845
(800) 991-6070
Mailing address
139 E OLD TRENTON RD, CLARKSVILLE, TN 37043-5845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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