Larrissa Bowman

NPI #1114493467 in Palatine, Illinois

Provider Information

NPI Number: 1114493467
Entity Type: Individual
Name: Larrissa Bowman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2018
Last Updated: Oct 14, 2018

Practice Location

Address: 1936 CAMBRIDGE CT APT 4B
City: Palatine
State: Illinois
ZIP Code: 60074-1430
Phone: (224) 387-9775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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