Individual
ROBERT CHASE COOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, BA, RBT
Contact information
Practice address
355 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
(812) 258-9802
(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
1-21-52091
IN
106S00000X
Behavior Technician
RBT-19-82567
KY
Other
Enumeration date
09/23/2020
Last updated
04/22/2024
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