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Individual
SUSAN A OWENS
Active
Individual
SUSAN A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37678
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031310-00
—
FL
Enumeration date
02/24/2018
Last updated
10/15/2019
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