Active NPI
Kiandre Bowen
- Behavior Analyst
- Owings Mills, MD
National Provider Identifier
1194477463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9722 Groffs Mill Dr Ste 766
Owings Mills, MD 21117-6341 - Phone
- (845) 499-4463
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NY | Primary |
Addresses
Primary practice location
9722 Groffs Mill Dr Ste 766
Owings Mills, MD 21117-6341
Mailing address
6 Wood St
Spring Valley, NY 10977-5144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1194477463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WOOD ST",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR STE 766",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "845-499-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "KIANDRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.