Individual
PAUL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2812 COMMERCE RD, JACKSONVILLE, NC 28546-8113
(484) 687-3430
Mailing address
226 DIANE DR, JACKSONVILLE, NC 28540-0903
(484) 687-3430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1880
NC
106S00000X
Behavior Technician
RBT-21-173245
MA
Other
Enumeration date
09/18/2021
Last updated
07/29/2024
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