Individual
STEPHEN MICHAEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
3602 E GREENWAY RD STE 102, PHOENIX, AZ 85032-4648
(602) 560-2832
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000955
AZ
106S00000X
Behavior Technician
RBT-20-141780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-60187
BCBA CERTIFICATE
—
Enumeration date
12/04/2020
Last updated
08/08/2022
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