Individual
JARRETT BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4915 W BURREL LN, NEW PALESTINE, IN 46163-8023
(888) 877-7111
(317) 978-3478
Mailing address
4208 STARKEY DR, MARION, IN 46953-1685
(765) 603-7704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60147
IN
106S00000X
Behavior Technician
RBT-18-64696
IN
Other
Enumeration date
11/30/2020
Last updated
06/29/2022
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