Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Bwewusa

Individual provider Assistant Behavior Analyst · NPI 1467373613

Jack Bwewusa is an Assistant Behavior Analyst in Gaithersburg, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

509 Quince Orchard Rd Ste 205
Gaithersburg, MD 20878-1435
Phone: (855) 832-6727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X · Licence 106E00000X (MD)

Record details

NPI number1467373613
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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