Individual
DONIKA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 FAIRVIEW PL STE A, GREENWOOD, IN 46142-1342
(317) 450-8342
Mailing address
2503 FAIRVIEW PL STE A, GREENWOOD, IN 46142-1342
(317) 450-8342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290077
IN
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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