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NPI Code Detail

MEDICARE: MEGAN NICOLE OWENS

MEDICARE: MEGAN NICOLE OWENS
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
1103K00000XBehavior Analyst1-25-85243OH

General Provider Information

NPI Number : 1174030183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN NICOLE OWENS
Provider Business Mailing Address
First Line : 664 N MCELROY RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44905-2216
Country : US
Telephone Number : 419-566-1521
Fax Number : 419-747-4126
Provider Business Practice Location Address
First Line : 1033 LARCHWOOD RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-2424
Country : US
Telephone Number : 419-747-4122
Fax Number : 419-747-4126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2017
Last Update Date : 12/22/2025

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