Healthcare Provider Details

I. General information

NPI: 1992344816
Provider Name (Legal Business Name): OSMAN RALPH BIEN AIME RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 04/23/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 E VIRGINIA ST
EVANSVILLE IN
47715-2656
US

IV. Provider business mailing address

3216 BALLARD LN
NEW ALBANY IN
47150-7200
US

V. Phone/Fax

Practice location:
  • Phone: 812-436-1448
  • Fax:
Mailing address:
  • Phone: 812-590-2152
  • Fax: 800-990-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: