Individual
CLARK LOUIS COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
(757) 428-1630
Mailing address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
(757) 428-1630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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