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NPI Code Detail

MEDICARE: OSMAN RALPH BIEN AIME RBT

MEDICARE: OSMAN RALPH BIEN AIME RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-19-105563OTHERRBT CERTIFICATE

General Provider Information

NPI Number : 1992344816
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSMAN RALPH BIEN AIME RBT
Provider Business Mailing Address
First Line : 3216 BALLARD LN
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-7200
Country : US
Telephone Number : 812-590-2152
Fax Number : 800-990-2526
Provider Business Practice Location Address
First Line : 5201 E VIRGINIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2656
Country : US
Telephone Number : 812-436-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2019
Last Update Date : 04/23/2024

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