Ryan Bowles
Behavior Technician in Frederick, MD. Individual provider (NPI-1).
NPI number1801596606
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1801596606
- Entity type
- Individual (NPI-1)
- Name
- Ryan Bowles
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5310 Spectrum DrFrederick, MD 21703-7362
Phone 888-726-4774
Mailing address
9 Banks AveMcAdoo, PA 18237-2508
Phone 570-931-3850
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