Individual
ANGELA ELAINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 RIVANNA RIVER WAY # 4615, FAIRFAX, VA 22030-4441
(757) 389-2462
Mailing address
4450 RIVANNA RIVER WAY # 4615, FAIRFAX, VA 22030-4441
(757) 389-2462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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