Individual
ELIZABETH KOPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 755-4049
(219) 769-1048
Mailing address
3605 OAK GROVE DR, VALPARAISO, IN 46383-2050
(708) 288-7791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11939899
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/19/2018
Last updated
09/21/2020
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