Individual
ALICIA GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8245 VICELA DR, SARASOTA, FL 34240-1462
(239) 779-7490
Mailing address
8245 VICELA DR, SARASOTA, FL 34240-1462
(239) 779-7490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-302620
—
Other
Enumeration date
10/09/2023
Last updated
07/17/2025
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