Individual
TRACEY E OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 MALCOLM AVE, NEWPORT, AR 72112-3631
(870) 336-6492
(870) 455-0271
Mailing address
2135 MALCOLM AVE, NEWPORT, AR 72112-3631
(870) 336-6492
(870) 455-0271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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