Individual
REBECCA COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP, BCBA, CIRT
Contact information
Practice address
34826 RICHARD ST, WAYNE, MI 48184-2332
(734) 395-7676
Mailing address
34826 RICHARD ST, WAYNE, MI 48184-2332
(734) 395-7676
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
6301011236
MI
103TC0700X
Clinical Psychologist
Primary
6301011236
MI
Other
Enumeration date
07/24/2013
Last updated
04/29/2021
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