Provider Demographics
NPI:1871472324
Name:BOWSER, GINA (BCBA)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:BOWSER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6908 ENGLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3459
Mailing Address - Country:US
Mailing Address - Phone:216-321-0720
Mailing Address - Fax:866-571-7395
Practice Address - Street 1:6908 ENGLE RD STE D
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3459
Practice Address - Country:US
Practice Address - Phone:216-321-0720
Practice Address - Fax:866-571-7395
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-25-83728103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst