Jennifer Dawn Owens
Behavior Technician in Bay Village, OH. Individual provider (NPI-1).
NPI number1104476357
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1104476357
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Dawn Owens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2019
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-99252 | IL | Yes |
| 106S00000X | Behavior Technician | RBT-23-263069 | IL |
Practice location
315 Tanglewood LnBay Village, OH 44140-1130
Phone 440-291-8025 · Fax 440-291-8025
Mailing address
315 Tanglewood LnBay Village, OH 44140-1130
Phone 440-668-5342 · Fax 440-291-8025
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All 15 Behavior Technician providers in Bay Village · All 147 providers in Bay Village
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