Individual
BRIAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 42ND ST APT 2, NEWPORT BEACH, CA 92663-1501
(702) 292-8476
Mailing address
211 42ND ST APT 2, NEWPORT BEACH, CA 92663-1501
(702) 292-8476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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