Individual provider · Type 1 NPI

Jack Bowen

Behavior Technician · Phoenix, AZ

NPI number 1982518007 Active

Practice location

23309 N 17th Dr
Phoenix, AZ 85027-6305

Mailing address

23309 N 17th Dr Ste 100
Phoenix, AZ 85027-6306

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-407532 (AZ)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1982518007

Jack Bowen's National Provider Identifier is 1982518007, issued on Sep 28, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 28, 2026.