Individual
JAMES JEROD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
Mailing address
7018 E MAINSGATE CT, WICHITA, KS 67226-1631
(316) 217-2116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/27/2024
Last updated
04/22/2025
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