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Individual

DR. CLARENCE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D, BCBA-D

Contact information

Practice address
2500 N MILITARY TRL STE 304, BOCA RATON, FL 33431-6324
(772) 362-9878
Mailing address
4900 EVERGREEN AVE, FORT PIERCE, FL 34947-1646
(772) 538-2188

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
1-24-70821
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/02/2015
Last updated
05/22/2025
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