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NPI Code Detail

MEDICARE: TIMIAH LASHAYE OWENS

MEDICARE: TIMIAH LASHAYE 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
1106S00000XBehavior TechnicianUT960305OH

General Provider Information

NPI Number : 1447112974
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMIAH LASHAYE OWENS
Provider Business Mailing Address
First Line : 9722 ROSEWOOD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-6725
Country : US
Telephone Number : 216-816-7811
Fax Number : 216-816-7811
Provider Business Practice Location Address
First Line : 4891 E COUNTY LINE RD
Second Line :
City : MINERAL RIDGE
State : OH
Zip : 44440-9411
Country : US
Telephone Number : 614-844-3800
Fax Number : 614-844-3800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/05/2025

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Directions to “ TIMIAH LASHAYE OWENS ” Practice Location

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