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Individual

EMILY CAROLINE BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 ADRIS PL, DOTHAN, AL 36303-1997
(334) 818-3302
Mailing address
305 REGENCY CT, DOTHAN, AL 36305-1187

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14508
AL
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BACB789252
BACB789252
AL
Enumeration date
06/01/2022
Last updated
05/24/2023
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