NPI 1467373613

Jack Bwewusa

Practitioner Assistant Behavior Analyst Gaithersburg, MD

Practice location

Address: 509 Quince Orchard Rd STE 205, Gaithersburg, MD 20878-1435
Phone: (855) 832-6727
Mailing address: 7108 S Kanner Hwy, Stuart, FL 34997-7462

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 106E00000X (MD)

Other Assistant Behavior Analyst providers in Maryland →

Registry record

NPI: 1467373613
Entity type: Individual
Sex (as registered): X
NPI issued: 23 Jul 2026
Record last updated: 23 Jul 2026

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.