Organization
PIECESTOFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAZHE COOPER LICENSED BEHAVIOR SP (CEO)
(215) 907-0610
Entity
Organization
Contact information
Practice address
6700 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2108
(215) 907-0610
Mailing address
6700 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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