Most Relevant Information
Provider Data
| NPI Number: | 1003648320 |
| Provider Name: | MICHELLE D OSBOURN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2024 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
18270 SISKIYOU RD STE B
APPLE VALLEY
CA
923071413
Practice Location Phone/Fax
| Phone: | 7609913020 |
| Fax: | 7606478100 |
Provider Mailing Location
18270 SISKIYOU RD STE B
APPLE VALLEY
CA
923071413
Provider Mailing Phone/Fax
| Phone: | 7609913020 |
| Fax: | 7606478100 |