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NPI Code Detail

MEDICARE: JENNIFER LINDBERG DOWER

MEDICARE: JENNIFER LINDBERG DOWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior AnalystBACB830549TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-24-75717OTHERTXBACB
2RBT-22-237095OTHERTXBACB

General Provider Information

NPI Number : 1518655117
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LINDBERG DOWER
Provider Business Mailing Address
First Line : 1250 S A W GRIMES BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2854
Country : US
Telephone Number : 737-302-1433
Fax Number : 512-717-5553
Provider Business Practice Location Address
First Line : 1401 PHILOMENA ST
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3574
Country : US
Telephone Number : 512-900-8223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 11/05/2024

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Directions to “ JENNIFER LINDBERG DOWER ” Practice Location

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