Individual
SHERRIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 EAST PINE STREET, LONG BEACH, NY 11561
(516) 491-0788
Mailing address
554 E PINE ST, LONG BEACH, NY 11561-2431
(516) 491-0788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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