Individual
CALEB P COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1511 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 536-8674
(615) 815-1946
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69393
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/03/2020
Last updated
12/07/2023
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