Individual
KINSLEY SHARLA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48642 871ST RD, ONEILL, NE 68763-4679
(402) 992-4417
Mailing address
48642 871ST RD, ONEILL, NE 68763-4679
(402) 992-4417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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