Individual
AMY BENILDE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, BCBA
Contact information
Practice address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 479-0295
Mailing address
4414 PEMBROKE LN, FORT WAYNE, IN 46807-2544
(260) 479-0294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
02/21/2025
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