Nicolas Fowler
Behavior Technician in Beavercreek, OH. Individual provider (NPI-1).
NPI number1124861216
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1124861216
- Entity type
- Individual (NPI-1)
- Name
- Nicolas Fowler
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2522 Nutter Park DrBeavercreek, OH 45434-3500
Phone 859-282-0400
Mailing address
800 Riviera DrLawrenceburg, IN 47025-2063
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Behavior Technician providers in Beavercreek · All 1,497 providers in Beavercreek
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