Jennifer Dawn Owens

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-99252 Issued in IL

Practice address

315 Tanglewood LN
Bay Village, OH 44140-1130

Phone

(440) 291-8025

Fax

(440) 291-8025

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Intervention Consulting LLC

  • Behavior Analyst
  • Bay Village, OH
  • NPI 1174963946
  NPD (past)
• Growing Minds Learning Center, LLC

  • Behavior Analyst
  • Bowling Green, KY
  • NPI 1275813222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1104476357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TANGLEWOOD LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401130",
            "telephone_number": "440-668-5342",
            "fax_number": "440-291-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TANGLEWOOD LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401130",
            "telephone_number": "440-291-8025",
            "fax_number": "440-291-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-23-263069",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-19-99252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnia Function LLC
• Optical Showcase, Inc.
• Oviatt 26611
• Oviatt 26611
• Oviatt 26611
• Margaret Pailes, DDS
• Vanessa Lynn Pamer
• Tomas Pano
• Trisha Peace, RN
• Shyanne Marie Pierce

• Behavior Technician in Bay Village, OH
• Providers in Bay Village, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.