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General NPI Number Information
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NPI Number | 1255661120
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Entity Type | Organization
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Legal Business Name | REACHING YOUR POTENTIAL, LLC
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1285 RUDY STREET
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City | ONALASKA
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State | WI
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Zip | 54650-8580
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Country | US
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Telephone | 718-299-4668
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Fax | 715-670-0775
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Provider Business Mailing Address
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Address Line | W11191 HAGEN LANE
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City | BLACK RIVER FALLS
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State | WI
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Zip | 54615-5994
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Country | US
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Telephone | 715-299-4668
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Fax | 715-670-0775
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Authorized Official
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Title or Position | CO-OWNER, BEHAVIOR ANALYST
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Name | MS. TRACEY A COWLEY
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Credential | BCBA
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Telephone | 715-299-4668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2328-57
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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