Larry D Cooper JR.

NPI #1124660584 in Juneau, Alaska

Provider Information

NPI Number: 1124660584
Entity Type: Individual
Name: Larry D Cooper JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 3252 HOSPITAL DR
City: Juneau
State: Alaska
ZIP Code: 99801-7808
Phone: (907) 796-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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