Larette Denise Cooper, BA

NPI #1700421674 in Woodside, New York

Provider Information

NPI Number: 1700421674
Entity Type: Individual
Name: Larette Denise Cooper, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: Nov 14, 2019
Last Updated: Nov 14, 2019

Practice Location

Address: 4277 65TH PL
City: Woodside
State: New York
ZIP Code: 11377-5054
Phone: (516) 755-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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