Most Relevant Information
Provider Data
| NPI Number: | 1003678574 |
| Provider Name: | JUSTICE OWEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2024 |
| Last Updated: | 01/29/2024 |
Provider Practice Location
2601 N WALTON BLVD
BENTONVILLE
AR
727124337
Practice Location Phone/Fax
| Phone: | 4798024798 |
| Fax: |
Provider Mailing Location
2601 N WALTON BLVD
BENTONVILLE
AR
727124337
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |