Individual
TRISIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 133, KAPOLEI, HI 96707-2097
(808) 800-1195
(855) 551-3926
Mailing address
1001 KAMOKILA BLVD STE 133, KAPOLEI, HI 96707-2097
(808) 800-1195
(855) 551-3926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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