Individual
JACOB GOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1755 N BROWN RD, SUITE 200, LAWRENCEVILLE, GA 30043-2018
(770) 637-2001
Mailing address
1755 NORTH BROWN ROAD, SUITE 200, LAWRENCEVILLE, GA 30043
(770) 637-2001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38796
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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