Individual
JONATHAN WADE COOK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-2104
(516) 206-8900
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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