Individual
LIASHA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E STREETER AVE, MUNCIE, IN 47303-1909
(765) 587-4895
Mailing address
614 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
(765) 319-0660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80311
IN
106S00000X
Behavior Technician
RBT-21-179775
IN
Other
Enumeration date
04/23/2024
Last updated
04/10/2025
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