Provider Demographics
NPI:1982180014
Name:COWLEY, TRACEY A (BCBA)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:A
Last Name:COWLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:TRACEY
Other - Middle Name:A
Other - Last Name:REETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W11191 HAGEN LANE
Mailing Address - Street 2:
Mailing Address - City:BLACK RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54615-5994
Mailing Address - Country:US
Mailing Address - Phone:715-299-4668
Mailing Address - Fax:715-670-0775
Practice Address - Street 1:1285 RUDY STREET
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-8580
Practice Address - Country:US
Practice Address - Phone:715-299-4668
Practice Address - Fax:715-670-0775
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI240-140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst