Anthony Cory Owens
Behavior Technician in Riverview, FL. Individual provider (NPI-1).
NPI number1699430454
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1699430454
- Entity type
- Individual (NPI-1)
- Name
- Anthony Cory Owens
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10817 Bloomingdale AveRiverview, FL 33578-3616
Phone 813-952-6734
Mailing address
10817 Bloomingdale AveRiverview, FL 33578-3616
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