Individual
MRS. JAMIE LEE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7500 RIALTO BLVD STE 250, AUSTIN, TX 78735-8531
(512) 729-6224
Mailing address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3439
TX
106S00000X
Behavior Technician
00010774
TX
Other
Enumeration date
05/05/2020
Last updated
07/27/2021
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