Organization
BOWDEN ENTERPRISE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BOWDEN (CEO)
(857) 242-1139
Entity
Organization
Contact information
Practice address
7341 WINDY CT W, BAILEY, NC 27807-8953
(857) 242-1139
Mailing address
PO BOX 411, BAILEY, NC 27807-0411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
40088
KS
103TP2701X
Group Psychotherapy Psychologist
40088
KS
405300000X
Prevention Professional
—
MN
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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