Individual
JESSICA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BRANCHVIEW DR NE, CONCORD, NC 28025-2213
(704) 780-4271
Mailing address
927 LITTLETON DR, CONCORD, NC 28025-7104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
106S00000X
Behavior Technician
—
UT
Other
Enumeration date
08/20/2021
Last updated
08/28/2024
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