Individual
LARYAN DEVONTE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13185 OLD NASHVILLE HWY, SMYRNA, TN 37167-6309
(615) 560-6622
Mailing address
2901 OLD FRANKLIN RD APT 1420, ANTIOCH, TN 37013-5166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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