MEDICARE: CAITLIN BOWER BCBA

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
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1447731427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN BOWER BCBA

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:	734-748-1354
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 N POINTE DR APT 10
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49424-7796
Country	:	US
Telephone Number	:	734-748-1354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	10/12/2023

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Directions to “ CAITLIN BOWER BCBA” Practice Location

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