Individual
MR. KEITH ANDRE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 FALLING STAR LOOP, RENO, NV 89523-6884
(510) 239-6237
Mailing address
2185 FALLING STAR LOOP, RENO, NV 89523-6884
(510) 239-6237
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
NV
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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