Individual
AIDAN COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
19201 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-6913
(816) 474-3995
(816) 482-3802
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(281) 826-3382
(425) 491-7683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-127831
KS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/06/2020
Last updated
04/11/2024
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