Jerome Anthony Coppage JR., BCBA 1-21-55996
NPI #1780141630 in Menifee, California
Provider Information
- NPI Number
- 1780141630
- Entity Type
- Individual
- Name
- Jerome Anthony Coppage JR., BCBA 1-21-55996
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA 1-21-55996
- Enumeration Date
- Feb 27, 2019
- Last Updated
- Jan 26, 2022
Practice Location
- Address
- 30073 VIA AMANTE
- City
- Menifee
- State
- California
- ZIP Code
- 92584-8910
- Phone
- (619) 895-4615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
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