| The Owen Academy Autism Center | |
|
107 N 3rd Ave Durant OK 74701-4700 | |
| (580) 706-6936 | |
| Not Available |
| Full Name | The Owen Academy Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 107 N 3rd Ave, Durant, Oklahoma |
| Authorized Official Name and Position | Jeanna Thornton Peters (EDO) |
| Authorized Official Contact | 5807066936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Owen Academy Autism Center 107 N 3rd Ave Durant OK 74701-4700 Ph: (580) 706-6936 | The Owen Academy Autism Center 107 N 3rd Ave Durant OK 74701-4700 Ph: (580) 706-6936 |
| NPI Number | 1669233805 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669233805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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