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Individual
HEATHER NICOLE COOPER
Active
Individual
HEATHER NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
01
—
247200000
TECHNICIAN-OTHER
MI
Enumeration date
02/15/2017
Last updated
02/20/2024
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