Individual
ALEXIS DANYELLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 COMMERCIAL CENTER DR, MARION, AR 72364-9492
(870) 732-7920
(870) 732-7923
Mailing address
4101 ANGELUS ST, PARAGOULD, AR 72450-2523
(870) 568-5195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/13/2018
Last updated
11/09/2020
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