Individual
MADELAINE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., M.ED., BCBA
Contact information
Practice address
243 E 400 S, SUITE 300, SALT LAKE CITY, UT 84111-2838
(208) 403-7330
Mailing address
243 E 400 S, SUITE 300, SALT LAKE CITY, UT 84111-2838
(208) 403-7330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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