Jarrett Bowen, BCBA
Individual provider Active NPI Behavior Analyst · New Palestine, IN
NPI 1992309090 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1992309090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-60147 (IN)
- Practice address
- 4915 W Burrel LN
New Palestine, IN 46163-8023 - Phone
- (888) 877-7111
- Fax
- (317) 978-3478
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-64696 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-64696 | IN | |
| Behavior Analyst | 103K00000X | 1-22-60147 | IN | Yes |
Addresses
Primary practice location
4915 W Burrel LN
New Palestine, IN 46163-8023
Mailing address
4208 Starkey Dr
Marion, IN 46953-1685
Phone (765) 603-7704
Other providers in New Palestine, IN
- Jacklin Diane Barnhouse
- Best in Sight Family Eye Care P C
- Elizabeth A Blachly
- Erica Black
- Yakisha Blanc
- Rachel Brewster
- Shaniece Brooks
- Hadleigh Brown
- Christopher D Burns
- Erin Burns
All providers in New Palestine, IN · Behavior Analyst in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.