Individual
MRS. SAVANAH SARA OVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
569 CARTER CT, KIMBERLY, WI 54136-2201
(920) 739-3009
(920) 739-3709
Mailing address
569 CARTER CT, KIMBERLY, WI 54136-2201
(920) 739-3009
(920) 739-3709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
158-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050468
—
WI
Enumeration date
10/13/2016
Last updated
10/13/2016
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