Cooper, Katie
Cooper, Katie is an sole proprietor health care provider with primary practice located at 1110 Carroll Rd , Paragould AR 72450-6007. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cooper, Katie can be contacted via phone (870) 897-2372.Contact Information
Primary practice address
1110 Carroll Rd
Paragould AR 72450-6007
Phone: (870) 897-2372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1639845217 |
|---|---|
| LBN Legal business name | Cooper, Katie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Aug 23rd, 2021 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639845217 | NPPES |
| Arkansas | MEDICAID | 253147795 |
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