Individual
MR. JOSHUA AARON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3974 48TH ST, SUNNYSIDE, NY 11104-1022
(631) 617-9952
Mailing address
3974 48TH ST, SUNNYSIDE, NY 11104-1022
(631) 617-9952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P05116
NY
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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