Individual
KYLA HELEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 413-3151
Mailing address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 413-3151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-140921
MO
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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