Provider Demographics
NPI:1851183354
Name:BOWER, WENDY ELIZABETH (RBT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ELIZABETH
Last Name:BOWER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:E
Other - Last Name:FERRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:272 W BOOT RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1171
Mailing Address - Country:US
Mailing Address - Phone:484-883-8085
Mailing Address - Fax:
Practice Address - Street 1:7108 S KANNER HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-7462
Practice Address - Country:US
Practice Address - Phone:712-349-6317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABACB486807106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician