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Individual

SPECIALTY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(253) 302-0533
Mailing address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(253) 302-0533

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60755185
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60755185
WA
Enumeration date
05/24/2017
Last updated
07/21/2022
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