Individual
KRYSTAL NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19 LEXINGTON OAKS CT, FORISTELL, MO 63348-1479
(636) 673-2000
Mailing address
1928 CELEBRATION PARK CIR, BELLEVILLE, IL 62220-3267
(817) 676-8775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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