Active NPI
Anthony Bowen
- Behavior Technician
- Radnor, PA
National Provider Identifier
1821707035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156 - Phone
- (215) 853-6682
- Fax
- (855) 568-2494
- NPI assigned
- Nov 16, 2022
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156
Mailing address
201 King of Prussia Rd
Radnor, PA 19087-5147
Phone (215) 853-6682
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": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1821707035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875147",
"telephone_number": "215-853-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KING OF PRUSSIA RD STE 650",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875156",
"telephone_number": "215-853-6682",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.