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NPI Code Detail

MEDICARE: SANITA TANETTE OWENS

MEDICARE: SANITA TANETTE 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 Analyst1-21-50529FL

General Provider Information

NPI Number : 1467018432
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANITA TANETTE OWENS
Provider Business Mailing Address
First Line : 2924 KINGS RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2016
Country : US
Telephone Number : 850-258-2638
Fax Number :
Provider Business Practice Location Address
First Line : 2924 KINGS RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2016
Country : US
Telephone Number : 850-258-2638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2019
Last Update Date : 12/01/2023

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Directions to “ SANITA TANETTE OWENS ” Practice Location

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