Individual
KATIE ELIEEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3100 MAIN ST, VANCOUVER, WA 98663-2752
(833) 543-2583
Mailing address
3405 ORANGEWOOD, IRVINE, CA 92618-4089
(949) 923-5323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10219
CA
Other
Enumeration date
11/04/2013
Last updated
02/18/2022
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