Osborne, Tanyetta Nicole

Osborne, Tanyetta Nicole is an individual health care provider with primary practice located at 3100 Five Forks Trickum Rd Sw , Lilburn GA 30047-1890. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Osborne, Tanyetta Nicole can be contacted via phone (470) 485-2220.

Contact Information

Primary practice address
3100 Five Forks Trickum Rd Sw Lilburn GA 30047-1890
Phone: (470) 485-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-144795 Georgia

Profile Details

NPI number 1609479625
LBN Legal business name Osborne, Tanyetta Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Nov 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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