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General NPI Number Information
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NPI Number | 1033073473
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Entity Type | Individual
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Provider Name | TERRRI RACHAEL GOWEY BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3716 MORMON COULEE RD
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City | LA CROSSE
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State | WI
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Zip | 54601-7363
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Country | US
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Telephone | 608-782-6480
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Fax | 608-782-6481
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Provider Business Mailing Address
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Address Line | 1825 VICTORY ST
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City | LA CROSSE
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State | WI
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Zip | 54601-7201
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Country | US
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Telephone | 608-782-6480
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Fax | 608-782-6481
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 97-140
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License Number State | WI
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