Individual
BO TRAVIS POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
4629 AICHOLTZ RD STE 2, CINCINNATI, OH 45244-1560
(513) 752-1555
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-134673
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
07/12/2022
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