Camryn Elise Cooper

NPI #1558933630 in Providence Forge, Virginia

Provider Information

NPI Number: 1558933630
Entity Type: Individual
Name: Camryn Elise Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 16, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 11537 WINDING RIVER RD
City: Providence Forge
State: Virginia
ZIP Code: 23140-4447
Phone: (804) 252-6927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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