Individual
AVERY NATHANIEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
934 CAMBRIDGE ST, FAYETTEVILLE, NC 28303-5300
(910) 929-6148
(910) 493-3520
Mailing address
934 CAMBRIDGE ST, FAYETTEVILLE, NC 28303-5300
(910) 929-6148
(910) 493-3520
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/12/2022
Last updated
04/17/2024
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