Individual
CARRIE LEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2695 S JERSEY ST, DENVER, CO 80222-6321
(303) 759-1192
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-18-30298
CO
Other
Enumeration date
08/06/2013
Last updated
09/28/2018
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