Provider Demographics
NPI:1255661120
Name:REACHING YOUR POTENTIAL, LLC
Entity type:Organization
Organization Name:REACHING YOUR POTENTIAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:715-299-4668
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:718-299-4668
Practice Address - Fax:715-670-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X, 103K00000X
WI2328-57251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI134-140OtherLICENSURES
MNLP5638OtherLICENSURES
WI39133600Medicaid
WI2328-57OtherLICENSURES