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Individual

BETHANY COOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1010 S CASCADE AVE STE E, MONTROSE, CO 81401-4980
(970) 417-2096
Mailing address
3153 SILVER FOX DR, MONTROSE, CO 81401-8463
(970) 417-2096

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/10/2011
Last updated
07/21/2022
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