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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 months ago

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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