Individual
DIAMOND ZHANEA OSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1411 PRINCESS ANNE STREET, ALEXANDRIA, VA 22401
(540) 922-1110
Mailing address
790 TODDS LN, HAMPTON, VA 23666-1847
(757) 236-4614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-41770
VA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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