Individual
ASHTON OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, IP
Contact information
Practice address
4692 N LANCER AVE, BOISE, ID 83713-0520
(509) 589-0266
Mailing address
4692 N LANCER AVE, BOISE, ID 83713-0520
(509) 589-0266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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