Individual provider · NPI-1

Jessica Bowen

Behavior Analyst · Concord, NC

NPI number1972279743
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1972279743
Entity type
Individual (NPI-1)
Name
Jessica Bowen
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2021
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst–NCYes
106S00000X Behavior Technician–UT

Practice location

900 Branchview Dr Ne
Concord, NC 28025-2213

Phone 704-780-4271

Mailing address

927 Littleton Dr
Concord, NC 28025-7104

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