Healthcare Provider Details

I. General information

NPI: 1295676252
Provider Name (Legal Business Name): OSEI KWABENA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14115 LOVERS LN STE 154
CULPEPER VA
22701-4158
US

IV. Provider business mailing address

14115 LOVERS LN
CULPEPER VA
22701-4157
US

V. Phone/Fax

Practice location:
  • Phone: 571-237-7725
  • Fax: 757-935-0240
Mailing address:
  • Phone: 571-237-7725
  • Fax: 757-935-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: