Isabella Rose Bowlin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

G437-057-949-514 Issued in MN

Practice address

1160 Centre Pointe Drive
Ste 7
Mendota Heights, MN 55120

Phone

(952) 401-9359

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holland Center

  • Developmentally Disabled Services Day Training Agency
  • Minnetonka, MN
  • NPI 1467641555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1598404683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 SNOWSHOE LN E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551195956",
            "telephone_number": "651-343-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CENTRE POINTE DRIVE",
            "address_2": "STE 7",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "55120",
            "telephone_number": "952-401-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "ISABELLA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-01-28",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": "G437-057-949-514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Kwaku Bodom
• Rebecca Boelk
• Taylor Clare Bolton
• Ella Bonner Ramos
• Sarah Engeswick Borger, MA, LPCC
• Emily Boxrud
• Karlee Emma Braun
• Amelia Brown
• Melissa Brown
• Rodreakal Antonia Brown

• Behavior Technician in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.