Individual
MARY ELIZABETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-2315
(470) 394-0004
Mailing address
300 INTERNATIONAL PARKWAY, SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54612
GA
Other
Enumeration date
08/11/2021
Last updated
05/21/2024
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