NPI 1053142802

Bishop Bowman Manlimos

Practitioner Behavior Technician Independence, MO

Practice location

Address: 19201 E Valley View Pkwy STE H, Independence, MO 64055-6913
Phone: (816) 474-3995

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1053142802
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2024
Record last updated: 13 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.