Individual
KEARRA TYNECE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(822) 820-5490
Mailing address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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