Individual
STEPHANIE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA NC
Contact information
Practice address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 687-0307
Mailing address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23353
NC
Other
Enumeration date
10/12/2016
Last updated
01/21/2025
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