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NPI Code Detail

MEDICARE: SHERRIE COWAN

MEDICARE: SHERRIE COWAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBCBA/1-14-15617FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922343177
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE COWAN
Provider Business Mailing Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 941-456-0018
Fax Number :
Provider Business Practice Location Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 941-456-0018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 11/09/2023

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Directions to “ SHERRIE COWAN ” Practice Location

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