Individual
DARRELL L OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 CRAIG DR, WEST SPRINGFIELD, MA 01089-1478
(413) 505-6264
Mailing address
44 CRAIG DR, WEST SPRINGFIELD, MA 01089-1478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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