Individual
KEVIN LOEWEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 N ARIZONA AVE STE 1, CHANDLER, AZ 85225-6742
(602) 790-8923
Mailing address
11241 E SYLVAN AVE, MESA, AZ 85212-7096
(916) 825-1485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001480
AZ
Other
Enumeration date
01/14/2025
Last updated
02/03/2025
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