Samuel Bow

NPI #1003627894 in Fort Wayne, Indiana

Provider Information

NPI Number: 1003627894
Entity Type: Individual
Name: Samuel Bow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 6130 TRIER RD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-5378
Phone: (260) 203-0787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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