Provider Demographics
NPI:1609758531
Name:OSHEA, ANGELICA JOY
Entity type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:JOY
Last Name:OSHEA
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 1:7720 PENN AVE S # C206
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-3669
Mailing Address - Country:US
Mailing Address - Phone:763-313-7280
Mailing Address - Fax:763-313-7280
Practice Address - Street 1:4201 DEAN LAKES BLVD STE 160
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-2863
Practice Address - Country:US
Practice Address - Phone:612-509-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician