Carolyn M Cooper, BA

NPI #1366757106 in Fairbanks, Alaska

Provider Information

NPI Number: 1366757106
Entity Type: Individual
Name: Carolyn M Cooper, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: Aug 17, 2010
Last Updated: Jun 10, 2022

Practice Location

Address: 926 ASPEN ST
City: Fairbanks
State: Alaska
ZIP Code: 99709-5501
Phone: (907) 371-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Behavior Technician	106S00000X	Primary

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