Micah Shakim Cooper

NPI #1043052004 in Arkadelphia, Arkansas

Provider Information

NPI Number: 1043052004
Entity Type: Individual
Name: Micah Shakim Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 11, 2024
Last Updated: Jun 11, 2024

Practice Location

Address: 702 HICKORY ST
City: Arkadelphia
State: Arkansas
ZIP Code: 71923-5040
Phone: (870) 464-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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