Individual
JESSICA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
Mailing address
220 LIBERTY ST, BERRYVILLE, VA 22611-1128
(571) 643-2027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB917525
VA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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