Individual
SHARONDA COOPER-EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4348 S JEFFREY DR, BATON ROUGE, LA 70816-4196
(225) 361-0219
Mailing address
514 OAKFORD DR, BATON ROUGE, LA 70815-7246
(225) 364-8373
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007389386
DRIVERS LICENSE
LA
Enumeration date
10/28/2019
Last updated
10/28/2019
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