Individual
LEVI COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 W 15TH ST # 104, LAWRENCE, KS 66044-3158
(620) 490-0805
Mailing address
1603 W 15TH ST # 104, LAWRENCE, KS 66044-3158
(620) 490-0805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/13/2025
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