Individual
AMY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
279 TOWN PL STE 279, FAIRVIEW, TX 75069-1823
(248) 299-0030
Mailing address
279 TOWN PL STE 279, FAIRVIEW, TX 75069-1823
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1129
TX
103K00000X
Behavior Analyst
11416499
TX
Other
Enumeration date
07/21/2014
Last updated
12/20/2021
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