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Individual

MRS. JENNIFER DAWN OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
315 TANGLEWOOD LN, BAY VILLAGE, OH 44140-1130
(440) 291-8025
(440) 291-8025
Mailing address
315 TANGLEWOOD LN, BAY VILLAGE, OH 44140-1130
(440) 668-5342
(440) 291-8025

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99252
IL
106S00000X
Behavior Technician
RBT-23-263069
IL

Other

Enumeration date
09/18/2019
Last updated
03/15/2023
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