Individual
AVERY DENAE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 61ST ST, BROOKLYN, NY 11204-2746
(212) 481-4040
Mailing address
3021 AVENUE F, SCOTTSBLUFF, NE 69361-4404
(308) 765-5277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1351997
NE
Other
Enumeration date
07/12/2025
Last updated
07/25/2025
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