Individual
TYLER LEE MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
1609 JONQUIL DR, JEFFERSONVILLE, IN 47130-4631
(502) 468-9088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
263819
KY
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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