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

Jeremy Michael Fowler

Individual provider Behavior Technician · NPI 1770257974

Jeremy Michael Fowler is a Behavior Technician in Lithia, Florida. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone: (813) 467-9282
Show map & directions

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

Additional practice locations (1)

  • 1407 Queensbury Ave, Valrico, FL 33596-7156 — (352) 857-5525

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1770257974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address5454 Lithia Pinecrest Rd, Lithia, FL 33547-2853

Other providers in Lithia