Individual
OSASUMWEN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S HARRISON ST, EAST ORANGE, NJ 07018-1309
(862) 253-3109
Mailing address
545 S LIVINGSTON AVE APT 101, LIVINGSTON, NJ 07039-5430
(973) 985-1646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
02/09/2026
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