Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BH001550 | PA |
NPI | 1003219080 |
---|---|
Provider Name | Mrs. Cynthia Ann Owings |
First Address | Hanover, PA 17331-5125 |
Second Address | Hanover, PA 17331-5125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2014 |
Last Update Date | 03/10/2014 |