Most Relevant Information
Provider Data
| NPI Number: | 1003460155 |
| Provider Name: | SAMUEL OWINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2019 |
| Last Updated: | 07/27/2019 |
Provider Practice Location
3128 TOBACCO RD
NORTH POLE
AK
997056758
Practice Location Phone/Fax
| Phone: | 9073886696 |
| Fax: |
Provider Mailing Location
3128 TOBACCO RD
NORTH POLE
AK
997056758
Provider Mailing Phone/Fax
| Phone: | 9073886696 |
| Fax: |