Individual
MR. DALE KEITH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5208 W AVALON DR, PHOENIX, AZ 85031-3958
(623) 271-9011
Mailing address
837 E MONTECITO AVE APT 257, PHOENIX, AZ 85014-4320
(480) 547-6992
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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