Individual
KAYLI COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
403 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2040
(423) 202-3622
(423) 631-0019
Mailing address
403 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2040
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11726146
TN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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