Provider Demographics
NPI:1396117487
Name:COWAN, CLIFTON LAPEYRE (BCBA)
Entity type:Individual
Prefix:MR
First Name:CLIFTON
Middle Name:LAPEYRE
Last Name:COWAN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:MR
Other - First Name:CLIFF
Other - Middle Name:
Other - Last Name:COWAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:620 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3646
Mailing Address - Country:US
Mailing Address - Phone:828-693-4223
Mailing Address - Fax:828-693-6144
Practice Address - Street 1:620 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3646
Practice Address - Country:US
Practice Address - Phone:828-693-4223
Practice Address - Fax:844-590-5821
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103K00000X
NC1123103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst