Individual
MISS OMOSIWAJUOLA OLASANOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL TECH
Contact information
Practice address
275 W NATICK RD, WARWICK, RI 02886-1079
(401) 826-8875
(401) 826-8926
Mailing address
275 W NATICK RD STE 400, WARWICK, RI 02886-4358
(401) 678-1496
(401) 826-8926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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