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NPI Code Detail

MEDICARE: KEMARI OWENS RBT

MEDICARE: KEMARI OWENS RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician18-56742AL

General Provider Information

NPI Number : 1063071181
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEMARI OWENS RBT
Provider Business Mailing Address
First Line : 100 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4400
Fax Number :
Provider Business Practice Location Address
First Line : 2117 METRO CIR SW # A
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-5343
Country : US
Telephone Number : 256-701-3134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 09/10/2024

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Directions to “ KEMARI OWENS RBT” Practice Location

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