Provider Demographics
NPI:1447960059
Name:OWENS, HAILEE MARIE
Entity type:Individual
Prefix:
First Name:HAILEE
Middle Name:MARIE
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 VERMONT ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-3452
Mailing Address - Country:US
Mailing Address - Phone:316-282-6791
Mailing Address - Fax:
Practice Address - Street 1:1345 VERMONT ST APT 6
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3452
Practice Address - Country:US
Practice Address - Phone:316-282-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician