Richard Porter Bowens III, BA,

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2549 Jolly Rd Ste 380
Okemos, MI 48864-3680

Phone

(517) 300-6950

NPI assigned

Feb 17, 2022

Sex

Male

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1821743956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 S ISABELLA RD APT DD6",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488587101",
            "telephone_number": "313-502-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 JOLLY RD STE 380",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643680",
            "telephone_number": "517-300-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "RICHARD",
        "middle_name": "PORTER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BA,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Okemos, MI
• Providers in Okemos, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.