Micah Bowen

NPI #1104777077 in Shawnee, Oklahoma

Provider Information

NPI Number
1104777077
Entity Type
Individual
Name
Micah Bowen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 6, 2026
Last Updated
Feb 6, 2026

Practice Location

Address
3954 N KICKAPOO AVE STE 1-3
ZIP Code
74804-1698
Phone
(405) 857-8280

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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