IndividualActive
Brady Sowers
NPI 1124619952 · Behavior Technician · White Bear Lake, MN
Provider details
- NPI number
- 1124619952
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1011 Meadowlands Dr Ste 1&2
White Bear Lake, MN 55127-2339
Phone: (612) 315-1976
Mailing address
23164 E Martin Lake Dr Ne
Stacy, MN 55079-9378
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.