Teracenia Cooper

NPI #1003595737 in Crestview, Florida

Provider Information

NPI Number: 1003595737
Entity Type: Individual
Name: Teracenia Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 296 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536-3702
Phone: (850) 333-1279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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