Provider Demographics
NPI:1962386193
Name:OSBORN, ARIAL
Entity type:Individual
Prefix:
First Name:ARIAL
Middle Name:
Last Name:OSBORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 S CHEROKEE ST APT B
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:GA
Mailing Address - Zip Code:30728-3342
Mailing Address - Country:US
Mailing Address - Phone:423-413-1577
Mailing Address - Fax:
Practice Address - Street 1:504 S CHEROKEE ST APT B
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:GA
Practice Address - Zip Code:30728-3342
Practice Address - Country:US
Practice Address - Phone:423-413-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician