Cooper, Clarence
Cooper, Clarence is an sole proprietor health care provider with primary practice located at 4163 Nw Federal Hwy , Jensen Beach FL 34957-3623. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Cooper, Clarence can be contacted via phone (772) 773-1975.Contact Information
Primary practice address
4163 Nw Federal Hwy
Jensen Beach FL 34957-3623
Phone: (772) 773-1975
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-24-70821 |
Profile Details
NPI number | 1033501911 |
---|---|
LBN Legal business name | Cooper, Clarence |
Credentials | ED.D, BCBA-D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2015 |
Last updated | Jun 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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