Individual
HAYLEY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
(414) 615-0667
Mailing address
2345 FALKIRK DR, COLORADO SPRINGS, CO 80910-2186
(719) 465-7195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-118063
CO
225200000X
Physical Therapy Assistant
1020
NE
Other
Enumeration date
06/25/2014
Last updated
08/15/2022
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