Micah Shakim Cooper
Behavior Technician in Arkadelphia, AR. Individual provider (NPI-1).
NPI number1043052004
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1043052004
- Entity type
- Individual (NPI-1)
- Name
- Micah Shakim Cooper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2024
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | AR | Yes |
Practice location
702 Hickory StArkadelphia, AR 71923-5040
Phone 870-464-1337 · Fax 870-464-1338
Mailing address
702 Hickory StArkadelphia, AR 71923-5040
Phone 870-464-1337 · Fax 870-464-1338
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