Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jack Bowen

Individual provider Behavior Technician · NPI 1982518007

Jack Bowen is a Behavior Technician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

23309 N 17th Dr
Phoenix, AZ 85027-6305
Phone: (602) 641-2464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-407532 (AZ)

Record details

NPI number1982518007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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