Organization
ASA BEHAVIORAL HEALTHCARE AND RESEARCH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM J OSEI (OWNER/C.E.O)
(910) 587-9384
Entity
Organization
Contact information
Practice address
5508 FAITH DR APT 202, FAYETTEVILLE, NC 28314-1583
(910) 587-9384
Mailing address
5508 FAITH DR APT 202, FAYETTEVILLE, NC 28314-1583
(910) 587-9384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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