Individual
QUALINA J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12707 BEARS DEN LN # IN, CLARKSBURG, MD 20871-4463
(240) 801-0600
Mailing address
12707 BEARS DEN LN # IN, CLARKSBURG, MD 20871-4463
(240) 801-0600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2317248
—
CT
Enumeration date
12/17/2020
Last updated
12/17/2020
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