Abigail Jane Cooper
Behavior Technician in Decatur, GA. Individual provider (NPI-1).
NPI number1760074009
StatusActive
Last updated in NPPESFeb 8, 2021
Details
- NPI
- 1760074009
- Entity type
- Individual (NPI-1)
- Name
- Abigail Jane Cooper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2021
- Certification date
- Feb 8, 2021
- Last updated
- Feb 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
160 Clairemont Ave Ste 625Decatur, GA 30030-2541
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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