Individual
MRS. CASSANDRA LOTOYA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
11030 172ND ST, JAMAICA, NY 11433-3437
(718) 809-6927
(718) 206-1651
Mailing address
11030 172ND ST, JAMAICA, NY 11433-3437
(718) 809-6927
(718) 206-1651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
813870
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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