Provider Demographics
NPI:1407557267
Name:OSBRINK, JANIS CYNTHIA
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:CYNTHIA
Last Name:OSBRINK
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 1:3632 MOCKINGBIRD HILL CIR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6753
Mailing Address - Country:US
Mailing Address - Phone:661-221-2709
Mailing Address - Fax:
Practice Address - Street 1:3632 MOCKINGBIRD HILL CIR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-6753
Practice Address - Country:US
Practice Address - Phone:661-221-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician