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Clinton Cooper, RBT

Behavior Technician in Westerville, OH. Individual provider (NPI-1).

NPI number1184396160
StatusActive
Last updated in NPPESSep 29, 2021

Details

NPI
1184396160
Entity type
Individual (NPI-1)
Name
Clinton Cooper
Credential
RBT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2021
Certification date
Sep 29, 2021
Last updated
Sep 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-21-186901OHYes

Practice location

773 Brooksedge Blvd
Westerville, OH 43081-2821

Phone 614-401-3366 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

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