Individual
TAMMY ANN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NRCMA
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 689-4334
(681) 588-0339
Mailing address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 689-4334
(681) 588-0339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
175159
WV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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