Organization
KATIE COOK
Active
Other names
BCBA Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE EILEEN COOK BCBA (OWNER/DIRECTOR)
(949) 923-5323
Entity
Organization
Contact information
Practice address
1301 HOLLENCREST DR, WEST COVINA, CA 91791-3712
(949) 923-5323
Mailing address
1301 HOLLENCREST DR, WEST COVINA, CA 91791-3712
(949) 923-5323
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-10219
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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