Shaylene Bowman

Individual provider Active NPI Behavior Technician · Washington, DC

NPI 1063235802 · NPPES record last updated Oct 31, 2024

Key facts

NPI
1063235802
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-354103 (DC)
Practice address
1440 N St NW
Washington, DC 20005-2814
Phone
(202) 588-1112
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-354103DCMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-354103 DC Yes

Addresses

Primary practice location

1440 N St NW
Washington, DC 20005-2814

Mailing address

4633 A St SE
Washington, DC 20019-8432
Phone (202) 815-1567

Other providers in Washington, DC

All providers in Washington, DC · Behavior Technician in District of Columbia

Sources for this page

Verify at the official NPI Registry.