Individual
KATHARINE MERADITH OSMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2451 E BASELINE RD STE 300, GILBERT, AZ 85234-2465
(480) 474-4173
Mailing address
1312 S BOULDER CT UNIT F, GILBERT, AZ 85296-3777
(480) 250-8134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-162181
AZ
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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