Individual
MS. JESSICA K COOPERKLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1517 WESTMINSTER DR, APT 210, NAPERVILLE, IL 60563-9217
(614) 370-7747
Mailing address
1517 WESTMINSTER DR, APT 210, NAPERVILLE, IL 60563-9217
(614) 370-7747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119270
IL
Other
Enumeration date
09/04/2009
Last updated
09/18/2012
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